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ELLSWORTH FOOT AND ANKLE CLINIC NPI 1801187737


NPI Information

NPI: 1801187737
Provider Name: ELLSWORTH FOOT AND ANKLE CLINIC

Doing Business As: SUMMIT FOOT AND ANKLE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
365 W 50 N STE W1
VERNAL, UT
ZIP 84078
Phone: (435) 789-2062
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ELLSWORTH FOOT AND ANKLE CLINIC is a podiatrist in Vernal, 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 CLINIC NPI is 1801187737. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Summit Foot And Ankle.

The provider's business location address is:

365 W 50 N STE W1
VERNAL, UT
ZIP 84078-010
Phone: (435) 789-2062
Fax: (801) 253-6888

The provider's authorized official is Ryan Ellsworth .
The authorized official title is Owner and has the following contact phone number (801) 253-6886.

The enumeration date for this NPI number is 4/26/2011 and was last updated on 7/5/2022.


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: 11/14/2023

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