Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDAL N ELLSWORTH, MD
ActiveDR. RANDAL N ELLSWORTH, MD is a Specialist healthcare provider located in PROVO, Utah. NPI 1588635627 is currently active in the NPPES registry. Verify at CMS.
Specialist · PROVO, UT
Registration Details
- NPI Number
- 1588635627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2006 (20.401591794547 yrs)
- Last Updated
- Jul 8, 2007
- License
-
942742051205 (UT)
Practice Information
- Address
-
1735 N STATE STPROVO, UT, 846041010Browse UT providers · Browse ZIP 84604
- Phone
- 8013741818
- Fax
- 8013792959
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL FERRON OLSON | M.D. | 1851397491 |
| DR. LORAN DAVIS COOK | M.D. | 1396741948 |
| DR. DUANE JAMES NELSON | M.D. | 1841296498 |
| DR. LORAN TODD COOK | M.D. | 1801893375 |
| DR. HUGO G ALTAMIRANO | M.D. | 1417938325 |
| SCOTT E HANSEN | MD | 1164402897 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.