Whalio Doctors

NPI 1114389459

Ellsworth Foot and Ankle PLLC

Organisation Foot & Ankle Surgery Podiatrist Mesa, AZ

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
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 0786 (AZ)

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.