J. Bryan Ellsworth M.D.

NPI 1083619043 - Urology - 208800000X

NPI Details
NPI 1083619043
Gender Male
Enumeration Date 06/16/2005
Last Updated 11/12/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
736 S 900 E STE 108
ST GEORGE UT, 84790-7002, US
Phone (435) 628-3606
Fax (435) 628-8404
Business Location
736 S 900 E STE 108
ST GEORGE UT, 84790-7002, US
Phone (435) 628-3606
Fax (435) 628-8404
Toxanomy
Taxonomy Code 208800000X
License State Nevada
License Number 15297
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According to our database, Dr. J. Bryan Ellsworth M.D. NPI is 1083619043, taxonomy code is 208800000X and license number is 15297, license state is located at Nevada. J. Bryan Ellsworth M.D. physically located at 736 S 900 E Ste 108, St George UT, 84790-7002. NPI Number J. Bryan Ellsworth M.D. has the Individual type.

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1083619043 NPI number is provided on an as is basis without warranty of any kind. 1083619043 is maintained by the National Plan & Provider Enumeration System. The contents of J. Bryan Ellsworth M.D. are for informational purposes only.