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1245556141
RONALD K ELLSWORTH
CASCADE, ID
NPI
1245556141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-11978)
Enumeration Date
2010-04-16
Last Update Date
2024-02-13
Business Address
RONALD K ELLSWORTH MD
402 LAKE CASCADE PKWY
CASCADE, ID 83611-7702
Phone number: 208-382-4242
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Mailing Address
RONALD K ELLSWORTH MD
PO BOX 1330
CASCADE, ID 83611-1330
Phone number: 208-382-4242
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