| NPI | 1518687615 |
|---|---|
| Doing Business As | SUMMIT FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | RYAN SCOTT ELLSWORTH CEO 801-253-6886 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-09-25 |