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Organization
ELLSWORTH FOOT AND ANKLE
Active
Organization
ELLSWORTH FOOT AND ANKLE
Active
Other names
Precision Foot and Ankle, Summit Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SCOTT ELLSWORTH DPM (CEO)
(801) 273-0100
Entity
Organization
Contact information
Practice address
3355 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6620
(801) 377-5649
Mailing address
9980 S 300 W STE 300, SANDY, UT 84070-3654
(801) 253-6886
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
09/25/2024
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