Organization
INGROWN TOENAILS ONLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ELLSWORTH DPM (DOCTOR)
(801) 273-0001
Entity
Organization
Contact information
Practice address
4019 W 12600 S STE 120B, RIVERTON, UT 84096-7401
(801) 273-0001
Mailing address
4019 W 12600 S STE 120B, RIVERTON, UT 84096-7401
(801) 273-0001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
12/15/2014
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