Organization
SUMMIT FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ELLSWORTH (OWNER)
(801) 784-1111
Entity
Organization
Contact information
Practice address
336 W 100 S, SPANISH FORK, UT 84660-5881
(801) 784-1111
Mailing address
1355 N UNIVERSITY AVE, SUITE 125, PROVO, UT 84604-2721
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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