Whalio Doctors

NPI 1376298232

Daniel Leland Ellsworth

Practitioner Driver Spencer, IA

Practice location

Address
1709 35th Ave W Unit 1, Spencer, IA 51301-2550
Phone
(712) 260-0090
Mailing address
1607 McNaughton Way, Spencer, IA 51301-2873

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X Licence 514AG2680 (IA)

Registry record

NPI
1376298232
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Feb 2022
Record last updated
18 Feb 2022

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.