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 (OWNER)
(801) 253-6886
Entity
Organization
Contact information
Practice address
3355 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6620
(801) 253-6886
(801) 253-6888
Mailing address
9980 S 300 W STE 300, SANDY, UT 84070-3654
(801) 253-6886
(801) 253-6888
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
02/05/2025
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