Organization
SUMMIT FOOT AND ANKLE SPECIALISTS
Active
Organization
SUMMIT FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ELLSWORTH DPM (OWNER PHYSICIAN)
(801) 784-1111
Entity
Organization
Contact information
Practice address
3000 N TRIUMPH BLVD, SUITE 340, LEHI, UT 84043-4999
(801) 784-1111
Mailing address
1377 E 3900 S, SUITE 104, SALT LAKE CITY, UT 84124-1476
(801) 273-1070
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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