Individual provider · Type 1 NPI

Randy R. Clark, MD

Sports Medicine (Orthopaedic Surgery) Physician · St. George, UT

NPI number 1679781140 Active

Practice location

2825 E Mall Dr
St. George, UT 84790-1954

Call (435) 628-9393 Map

Fax (435) 628-9382

Mailing address

1055 N 500 W, Attn: Credentialing
Provo, UT 84604-3305

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	8203740-1205 (UT)
Orthopaedic Surgery Physician	207X00000X	8203740-1205 (UT)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1679781140

Randy R. Clark, MD's National Provider Identifier is 1679781140, issued on May 18, 2007. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in St. George, UT. The record was last updated on Mar 20, 2025.