CORWIN RYAN ELLSWORTH

TWIN FALLS, ID
NPI1962634246
Professional NameC RYAN ELLSWORTH
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1575)
Enumeration Date2009-08-20
Last Update Date2026-03-23
Business Address
-- CORWIN RYAN ELLSWORTH PA-C
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301-3721
Phone number: 208-736-7422
Mailing Address
-- CORWIN RYAN ELLSWORTH PA-C
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301-3721
Phone number: 208-736-7422
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