Individual
DUANE ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2905 W WARNER RD STE 10, CHANDLER, AZ 85224-1674
(602) 312-9008
Mailing address
2192 E CLAXTON ST, GILBERT, AZ 85297-1128
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
006049
AZ
390200000X
Student in an Organized Health Care Education/Training Program
62825
NY
Other
Enumeration date
05/11/2009
Last updated
09/19/2024
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