Ellsworth Foot and Ankle Clinic

NPI #1932878030 in Provo, Utah

Provider Information

NPI Number: 1932878030
Entity Type: Organization
Organization Name: Ellsworth Foot and Ankle Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: ELLSWORTH FOOT AND ANKLE CLINIC
Primary Specialty: Podiatrist
Enumeration Date: Sep 10, 2021
Last Updated: Feb 5, 2025

Practice Location

Address: 3355 N UNIVERSITY AVE STE 175
City: Provo
State: Utah
ZIP Code: 84604-6620
Phone: (801) 253-6886

Authorized Official

Name: RYAN ELLSWORTH, DPM
Title: OWNER
Phone: (801) 253-6886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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