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Contact Information

ERIK G ELLSWORTH, MD
1501 N GILBERT RD STE 203
GILBERT, AZ85234-2394
 Phone: 602-933-3366
 Fax: 602-933-4264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ERIK G ELLSWORTH · (Male)

NPI Number 1306826896
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2006
Last updated 09/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 41569
  • AZ Medicaid 404994
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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