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1104130574
RYAN SCOTT ELLSWORTH
RIVERTON, UT
NPI
1104130574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: UT 8400193-0501)
Enumeration Date
2010-07-28
Last Update Date
2023-01-24
Business Address
RYAN SCOTT ELLSWORTH DPM
4019 W 12600 S SUITE 120
RIVERTON, UT 84096
Phone number: 801-253-6886
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Mailing Address
RYAN SCOTT ELLSWORTH DPM
4019 W 12600 S STE 120
RIVERTON, UT 84096-7405
Phone number: 801-253-6886
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