IndividualActive
Randy Clark, M.D.
NPI 1679781140 · Sports Medicine (Orthopaedic Surgery) Physician · St George, UT
Provider details
- NPI number
- 1679781140
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 8203740-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2825 E Mall Dr
St George, UT 84790-1954
Phone: (435) 628-9393
Fax: (435) 628-9382
Approximate (ZIP-level) locationGet directions
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.