Individual provider · Type 1 NPI

David T. Ellsworth, D.P.M

Foot & Ankle Surgery Podiatrist · Mesa, AZ

NPI number 1528355708 Active

Practice location

4121 E Valley Auto Dr, Ste 110
Mesa, AZ 85206-4632

Call (480) 892-1540 Map

Fax (480) 892-2243

Mailing address

9233 E Neville Ave, Unit 1033
Mesa, AZ 85209-1505

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0786 (AZ)
Podiatrist 213E00000X0786 (AZ)
Sports Medicine Podiatrist 213ES0000X0786 (AZ)

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

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About NPI 1528355708

David T. Ellsworth, D.P.M's National Provider Identifier is 1528355708, issued on Jul 7, 2011. 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 5, 2016.