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Organization
SUMMIT MEDICAL CARE
Active
Organization
SUMMIT MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ELLSWORTH DPM (OWNER)
(801) 550-0955
Entity
Organization
Contact information
Practice address
777 N 500 W STE 103, PROVO, UT 84601-1552
(801) 253-6886
(801) 253-6888
Mailing address
9980 S 300 W STE 310, SANDY, UT 84070-3654
(801) 253-6886
(385) 900-5928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/18/2022
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