Individual
RANDOLPH A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 W DUNLAP AVE STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 789-8389
Mailing address
2510 W DUNLAP AVE STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26212
NV
207R00000X
Internal Medicine Physician
Primary
27792
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648751
—
AZ
Enumeration date
09/09/2005
Last updated
04/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us