# ELLSWORTH FOOT AND ANKLE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLSWORTH FOOT AND ANKLE CLINIC
- **Other names:** amble orthopedics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437912961
- **Legal business name:** ELLSWORTH FOOT AND ANKLE CLINIC
- **Authorized official:** RYAN SCOTT ELLSWORTH DPM (OWNER)
- **Authorized official phone:** (801) 273-0100

## Contact information

- **Practice address:** 12523 S CREEK MEADOW RD, RIVERTON, UT 84065-7291
- **Practice address phone:** (801) 273-0100
- **Mailing address:** 9980 S 300 W STE 300, SANDY, UT 84070-3654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2024
- **Last updated:** 02/06/2024