person
Ryan Scott Ellsworth, DPM
Foot & Ankle Surgery Podiatrist in Riverton, Utah
NPI 1104130574

Ryan Scott Ellsworth is a Foot & Ankle Surgery Podiatrist based in Riverton, UT and is specialized in Foot & Ankle Surgery. Ryan Scott Ellsworth practices in Riverton, UT and has the professional credentials of DPM. The NPI Number for Ryan Scott Ellsworth is 1104130574 and holds a License No. 8400193-0501 (Utah).

The current practice location address for Ryan Scott Ellsworth is 4019 W 12600 S, Riverton, UT and can be reached out via phone at 801-253-6886 and via fax at 801-253-6888.

Location: 4019 W 12600 S, Riverton, UT, 84096-7405
person
Provider Profile Details
NPI Number
1104130574
Provider Name
Ryan Scott Ellsworth
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4019 W 12600 S, Riverton, UT, 84096-7405
Phone Number
801-253-6886
Fax Number
801-253-6888
Provider Enumeration Date
07/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7672880001 01 UT DME
institution
Provider Business Practice Location Address Details
Address
4019 W 12600 S
City
State
Zip
84096
Phone Number
801-253-6886
Fax Number
801-253-6888
person
Provider Business Mailing Address Details
Address
4019 W 12600 S
City
State
Zip
84096
Phone Number
801-253-6886
Fax Number
801-253-6888
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
8400193-0501 (Utah)
Definition
Definition to come...
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