BRENT ELLSWORTH, PA-C

Physician Assistant

Active Individual
NPI: 1831412063

Practice Address

2001 S WOODRUFF AVE STE 9
Idaho Falls, ID 83404

Phone: (208) 419-3002

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA-844 (ID)

Frequently Asked Questions

NPI 1831412063 is the National Provider Identifier for BRENT ELLSWORTH, PA-C, a Physician Assistant provider located in Idaho Falls, ID. This NPI was enumerated on March 2, 2010.
BRENT ELLSWORTH, PA-C practices at 2001 S WOODRUFF AVE STE 9, Idaho Falls, ID 83404.

Quick Facts

NPI
1831412063
Type
Individual
Enumerated
Mar 2, 2010
Last Updated
Nov 2, 2022

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