Individual
ERIK G ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 N GILBERT RD STE 203, GILBERT, AZ 85234-2394
(602) 933-3366
(602) 933-4264
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1815
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
41569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404994
—
AZ
Enumeration date
01/19/2006
Last updated
09/18/2018
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