Organization
UROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN ELLSWORTH MD (PHYSICIAN)
(435) 628-3606
Entity
Organization
Contact information
Practice address
391 E 500 S, ST GEORGE, UT 84770-3667
(435) 628-3606
(435) 628-8404
Mailing address
391 E 500 S, ST GEORGE, UT 84770-3667
(435) 628-3606
(435) 628-8404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
UT
Other
Enumeration date
02/22/2007
Last updated
08/20/2007
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