NPI 1114389459
Ellsworth Foot and Ankle PLLC
Practice location
- Address
- 4121 E Valley Auto Dr #110, Mesa, AZ 85206-4631
- Phone
- (480) 892-1540
- Fax
- (480) 892-2243
Authorised official
- Name
- David T Ellsworth
- Title
- Podiatrist
- Phone
- (480) 310-6015
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1114389459
- Entity type
- Organization
- NPI issued
- 25 Mar 2016
- Record last updated
- 2 May 2016
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.