Ellsworth Foot and Ankle Clinic

NPI #1942549795 in Riverton, Utah

Provider Information

NPI Number: 1942549795
Entity Type: Organization
Organization Name: Ellsworth Foot and Ankle Clinic
Primary Specialty: Podiatrist - Foot & Ankle Surgery
Enumeration Date: Feb 13, 2013
Last Updated: Sep 29, 2021

Practice Location

Address: 12523 S CREEK MEADOW RD STE 105
City: Riverton
State: Utah
ZIP Code: 84065
Phone: (801) 253-6886

Authorized Official

Name: RYAN ELLSWORTH, DPM
Title: OWNER, MANAGER
Phone: (801) 550-0955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X	Primary

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Robert Joseph Liddiard, DPM	Podiatrist - Foot & Ankle Surgery	Riverton	AI Deep Dive
DR. Braden Russ Brklacich, DPM	Podiatrist - Foot & Ankle Surgery	Riverton	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Ellsworth Foot and Ankle Clinic Part of Ellsworth Foot and Ankle Clinic	Podiatrist - Foot & Ankle Surgery	Riverton	AI Deep Dive
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