# FAMILY PRACTICE OF SCOTTSDALE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine of Scottsdale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689831315
- **Authorized official:** DR. JESSICA T ELLSWORTH MD (OWNER)
- **Authorized official phone:** (480) 471-5702

## Contact information

- **Practice address:** 9377 E BELL RD, SUITE 175, SCOTTSDALE, AZ 85260-1502
- **Practice address phone:** (480) 471-5702
- **Practice address fax:** (480) 626-1916
- **Mailing address:** 9377 E BELL RD, SUITE 175, SCOTTSDALE, AZ 85260-1502
- **Mailing address phone:** (480) 471-5702
- **Mailing address fax:** (480) 626-1916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008