DR. Randal N Ellsworth, MD is a specialist in Provo, UT. The provider is 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. DR. Randal N Ellsworth, MD NPI is 1588635627. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1735 N STATE ST
PROVO, UT
ZIP 84604-010
Phone: (801) 374-1818
Fax: (801) 379-2959
The enumeration date for this NPI number is 1/27/2006 and was last updated on 7/8/2007.