Ellsworth Foot and Ankle

NPI #1134870041 in Provo, Utah

Provider Information

NPI Number: 1134870041
Entity Type: Organization
Organization Name: Ellsworth Foot and Ankle
Primary Specialty: Podiatrist
Enumeration Date: Jan 12, 2022
Last Updated: Sep 25, 2024

Practice Location

Address: 3355 N UNIVERSITY AVE STE 175
City: Provo
State: Utah
ZIP Code: 84604-6620
Phone: (801) 377-5649

Authorized Official

Name: RYAN SCOTT ELLSWORTH, DPM
Title: CEO
Phone: (801) 273-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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