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Organization

ELLSWORTH FOOT AND ANKLE CLINIC

Active
Parent organization
ELLSWORTH FOOT AND ANKLE CLINIC
Other names
Summit Foot and Ankle
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELLSWORTH FOOT AND ANKLE CLINIC
Authorized official
RYAN ELLSWORTH DPM (CEO)
(801) 253-6886
Entity
Organization

Contact information

Practice address
3130 S HIGHLAND DR # B4, SALT LAKE CITY, UT 84106-3095
(801) 253-6886
(801) 253-6888
Mailing address
9980 S 300 W STE 300, SANDY, UT 84070-3654
(801) 253-6886

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
09/10/2021
Last updated
09/25/2024
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