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ELLSWORTH FOOT AND ANKLE NPI 1295486116


NPI Information

NPI: 1295486116
Provider Name: ELLSWORTH FOOT AND ANKLE
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1678 BONANZA DR
PARK CITY, UT
ZIP 84060
Phone: (801) 253-6886
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ELLSWORTH FOOT AND ANKLE is a podiatrist in Park City, UT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ELLSWORTH FOOT AND ANKLE NPI is 1295486116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1678 BONANZA DR
PARK CITY, UT
ZIP 84060-201
Phone: (801) 253-6886

The provider's authorized official is Allison Peck .
The authorized official title is Credentialing Specialist and has the following contact phone number (801) 253-6886.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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