Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randolph A Clark, MD

Individual provider Internal Medicine Physician · NPI 1568456036

Randolph A Clark, MD is an Internal Medicine in Phoenix, Arizona. Graduated from University of Southern California Keck School of Medicine in 1998, 28 years ago. Practices with Clark Medical and Post-Acute Services LLC, a 6-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Nevada.

Years since qualifying
28
Trained at
University of Southern California Keck School of Medicine
Licensed in
AZ, NV
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2510 W Dunlap Ave Ste 290
Phoenix, AZ 85021-2759
Phone: (602) 789-0344
Fax: (602) 789-8389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2645 E Southern Ave, Tempe, AZ 85282-7649 — (623) 624-8280
  • 6880 S McCarran Blvd Ste 5, Reno, NV 89509-6129 — (775) 398-1981

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 27792 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 26212 (NV)

Record details

NPI number1568456036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021-2759

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Clark Medical And Post-Acute Services Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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