| Ellsworth Foot And Ankle | |
|
1678 Bonanza Dr, Park City, UT 84060-7201 | |
| (801) 253-6886 | |
| Not Available |
| Full Name | Ellsworth Foot And Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1678 Bonanza Dr, Park City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295486116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth Foot And Ankle 9980 S 300 W Ste 310, Sandy, UT 84070-3654 Ph: (801) 253-6886 | Ellsworth Foot And Ankle 1678 Bonanza Dr, Park City, UT 84060-7201 Ph: (801) 253-6886 |
Douglas S Lister, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2720 Homestead Road, Suite 50, Park City, UT 84098 Phone: 435-604-0449 Fax: 435-649-9202 | |
Advanced Foot And Ankle Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, Ste 120, Park City, UT 84060 Phone: 801-373-2499 Fax: 801-373-5200 |