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ELLSWORTH FOOT AND ANKLE CLINIC 1336818434

Overview
Name: ELLSWORTH FOOT AND ANKLE CLINIC Specialty: Foot & Ankle Surgery Podiatrist Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Podiatric Medicine & Surgery Service Providers Classification: Podiatrist Specialization: Foot & Ankle Surgery. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: ELLSWORTH FOOT AND ANKLE CLINIC,12523 S CREEK MEADOW RD STE 105,RIVERTON,UT,840657299,US Mailing Address: ELLSWORTH FOOT AND ANKLE CLINIC,12523 S CREEK MEADOW RD STE 105,RIVERTON,UT,840657299,US
Contact #
Practice location phone #: 8012536886 Practice location fax #: 8012536888 Mailing address Phone #: 8012536886 Mailing Address fax #: 8012536888 Authorized official Name/Telephone #:RYAN, ELLSWORTH, DPM, OWNER 8015500955
Misc
Date NPI was obtained: 09/10/2021 Last data data was updated: 09/30/2021 Insurances:

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