Organization
ELLSWORTH FOOT AND ANKLE CLINICS, LLC
Active
Other names
Summit Foot and Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ELLSWORTH DPM (OWNER PHYSICIAN)
(801) 784-1111
Entity
Organization
Contact information
Practice address
1377 E 3900 S, SUITE 100, SALT LAKE CITY, UT 84124-1476
(801) 784-1111
Mailing address
1377 E 3900 S, SUITE 100, SALT LAKE CITY, UT 84124-1476
(801) 784-1111
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
08/27/2015
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