Organization
ELLSWORTH FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ELLSWORTH DPM (OWNER)
(801) 253-6886
Entity
Organization
Contact information
Practice address
367 N MAIN ST, HUNTINGTON, UT 84528-5512
(801) 253-6886
(801) 253-6888
Mailing address
12523 S CREEK MEADOW RD STE 105, RIVERTON, UT 84065-7299
(801) 253-6886
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/30/2021
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