DR. RANDAL ELLSWORTH, MD
Specialist
Active
Individual
NPI: 1588635627
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | 942742051205 (UT) |
Frequently Asked Questions
NPI 1588635627 is the National Provider Identifier for DR. RANDAL ELLSWORTH, MD, a Specialist provider located in Provo, UT. This NPI was enumerated on January 27, 2006.
DR. RANDAL ELLSWORTH, MD practices at 1735 N STATE ST, Provo, UT 84604.
Quick Facts
- NPI
- 1588635627
- Type
- Individual
- Enumerated
- Jan 27, 2006
- Last Updated
- Jul 8, 2007
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