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Contact Information

MARC A ELLSWORTH, MD
3420 S MERCY RD STE 205
GILBERT, AZ85297-0423
 Phone: 602-933-6345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARC A ELLSWORTH · (Male)

NPI # 1609171115
Status Active
Credentials MD
Entity Individual
Enumeration date 01/13/2011
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 51592
  • MN License # 54096
  • MN Medicaid ENROLLED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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