TANNER S. ELLSWORTH

SALT LAKE CITY, UT
NPI1730767872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  12974676-1205)
Enumeration Date2021-03-30
Last Update Date2022-08-10
Business Address
TANNER S. ELLSWORTH MD
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-662-5700
Mailing Address
TANNER S. ELLSWORTH MD
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-662-5700
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