NPI 1053547141

Randal N Ellsworth M.D. PC

Organisation Ophthalmology Physician Saint George, UT

Practice location

Address: 1791 E 280 N, Saint George, UT 84790-2400
Phone: (435) 656-2020
Fax: (435) 673-4131
Mailing address: 510 W 650 S, Orem, UT 84058-6136

Authorised official

Name: Randal Nylan Ellsworth
Title: Owner
Phone: (435) 656-2020

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 274205-1205 (UT)

Other Ophthalmology providers in Utah →

Registry record

NPI: 1053547141
Entity type: Organization
NPI issued: 3 Jun 2009
Record last updated: 3 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.