Dr. Randal N Ellsworth, MD - Provo, UT

Dr. Randal N Ellsworth, MD

Specialist in Provo, Utah

NPI 1588635627

Randal N Ellsworth is a Specialist based in Orem, UT. Randal N Ellsworth practices in Provo, UT and has the professional credentials of MD. The NPI Number for Randal N Ellsworth is 1588635627 and holds a License No. 942742051205 (Utah).

The current practice location address for Randal N Ellsworth is 1735 N State St, Provo, UT and can be reached out via phone at 801-374-1818 and via fax at 801-379-2959. You can also correspond with Randal N Ellsworth through the mailing address at 510 W 650 S, OREM, UT - 84058-6136 (mailing address contact number: 801-225-1717).

Location: 1735 N State St, Provo, UT, 84058-6136

NPI Number

1588635627

Provider Name

Randal N Ellsworth

Credential

Provider Entity Type

Individual

Gender

Male

Address

1735 N State St, Provo, UT, 84058-6136

Phone Number

801-374-1818

Fax Number

801-379-2959

Provider Enumeration Date

01/27/2006

Last Update Date

03/08/2024

Address

1735 N State St

City

Provo

State

Utah

Zip

84604-1010

Phone Number

801-374-1818

Fax Number

801-379-2959

Address

510 W 650 S

City

Orem

State

Utah

Zip

84058-6136

Phone Number

801-225-1717

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

942742051205 (Utah)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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