ELLSWORTH FOOT AND ANKLE CLINIC; NPI #1942549795

Contact Information

ELLSWORTH FOOT AND ANKLE CLINIC

12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065

Phone: 801-253-6886
Fax: 801-253-6888
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ELLSWORTH FOOT AND ANKLE CLINIC

NPI Number 1942549795

LBN Legal business name ELLSWORTH FOOT AND ANKLE CLINIC

Authorized official RYAN ELLSWORTH - (OWNER, MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/13/2013

Last updated 09/29/2021 - About 5 years ago

Identifiers

License #

8400193-0501

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ELLSWORTH FOOT AND ANKLE CLINIC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ELLSWORTH FOOT AND ANKLE CLINIC

Reviews for ELLSWORTH FOOT AND ANKLE CLINIC