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NPI Verification

National Provider Identifier: 1083619043

John Bryan Ellsworth, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (3)

Specialist

Code: 174400000X

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

736 S 900 E STE 108

ST GEORGE, UT 84790

Phone: 435-628-3606

NPI Enumeration Date

June 16, 2005

NPI Number

1083619043

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
John Ellsworth, M.d. - NPI 1083619043 | Provider Verification | HormoneMap