SKYLER ELLSWORTH

MERIDIAN, ID
NPI1932784386
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-2207)
Enumeration Date2021-03-16
Last Update Date2025-06-04
Business Address
SKYLER ELLSWORTH PA-C
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
Mailing Address
SKYLER ELLSWORTH PA-C
2840 S MERIDIAN RD
MERIDIAN, ID 83642-7960
Phone number: 208-593-6393