Organization
ELLSWORTH FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON PECK (CREDENTIALING SPECIALIST)
(801) 253-6886
Entity
Organization
Contact information
Practice address
1678 BONANZA DR, PARK CITY, UT 84060-7201
(801) 253-6886
Mailing address
9980 S 300 W STE 310, 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
01/12/2022
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