Ryan Ellsworth
Foot & Ankle Surgery
4019 W 12600 S Suite 120
Riverton
, Utah 84096
Ryan Ellsworth
Foot & Ankle Surgery
4019 W 12600 S Suite 120
Riverton
, Utah 84096
(801) 253-6888
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Ryan Ellsworth
- 4019 W 12600 S Ste 120
- Riverton, UT
- Zip : 84096-7405
- Fax : (801) 253-6888
- Phone : (801) 253-6886
Second Address
- Ryan Ellsworth
- 4019 W 12600 S Suite 120
- Riverton, UT
- Zip : 84096
- Fax : (801) 253-6888
- Phone : (801) 253-6886
Reviews
FAQs
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What type of doctor is Ryan Ellsworth
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 8400193-0501 | UT |
National Provider Identifier
| NPI | 1104130574 |
|---|---|
| Provider Name | Ryan Ellsworth |
| First Address | Riverton, UT 84096-7405 |
| Second Address | Riverton, UT 84096 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2010 |
| Last Update Date | 25/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7672880001 | DME (01) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.