# SUMMIT MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881216646
- **Authorized official:** RYAN ELLSWORTH DPM (OWNER)
- **Authorized official phone:** (801) 550-0955

## Contact information

- **Practice address:** 777 N 500 W STE 103, PROVO, UT 84601-1552
- **Practice address phone:** (801) 253-6886
- **Practice address fax:** (801) 253-6888
- **Mailing address:** 9980 S 300 W STE 310, SANDY, UT 84070-3654
- **Mailing address phone:** (801) 253-6886
- **Mailing address fax:** (385) 900-5928

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2020
- **Last updated:** 05/18/2022