CORWIN ELLSWORTH, PA-C

Physician Assistant

Active Individual
NPI: 1962634246

Practice Address

728 E WHITE MOUNTAIN BLVD
SUITE B
Pinetop, AZ 85935

Phone: (928) 367-3926

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 2609 (AZ)

Frequently Asked Questions

NPI 1962634246 is the National Provider Identifier for CORWIN ELLSWORTH, PA-C, a Physician Assistant provider located in Pinetop, AZ. This NPI was enumerated on August 20, 2009.
CORWIN ELLSWORTH, PA-C practices at 728 E WHITE MOUNTAIN BLVD, SUITE B, Pinetop, AZ 85935.

Quick Facts

NPI
1962634246
Type
Individual
Enumerated
Aug 20, 2009
Last Updated
Aug 20, 2009

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