NPI 1083619043

John Bryan Ellsworth, MD

Practitioner Urology Physician St George, UT

Practice location

Address: 736 S 900 E STE 108, St George, UT 84790
Phone: (435) 628-3606
Fax: (435) 628-8404
Mailing address: 736 S 900 E STE 108, St George, UT 84790-7002

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 77080 (AZ)

Other Urology providers in Utah →

Specialist

Other Service Providers Taxonomy 174400000X Licence 188550-1205 (UT)

Other Specialist providers in Utah →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 15297 (NV)

Registry record

NPI: 1083619043
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2005
Record last updated: 30 Apr 2025

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.