Organization · Type 2 NPI

Ellsworth Foot and Ankle PLLC

Foot & Ankle Surgery Podiatrist · Mesa, AZ

NPI number 1114389459 Active

Practice location

4121 E Valley Auto Dr, #110
Mesa, AZ 85206-4631

Fax (480) 892-2243

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0786 (AZ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1114389459

Ellsworth Foot and Ankle PLLC's National Provider Identifier is 1114389459, issued on Mar 25, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mesa, AZ. The record was last updated on May 2, 2016.