Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORWIN RYAN ELLSWORTH, PA-C
Active Sole ProprietorCORWIN RYAN ELLSWORTH, PA-C is a Physician Assistant healthcare provider located in PINETOP, Arizona. NPI 1962634246 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PINETOP, AZ
Registration Details
- NPI Number
- 1962634246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2009 (16.965499708312 yrs)
- Last Updated
- Aug 20, 2009
- License
-
2609 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
728 E WHITE MOUNTAIN BLVDSUITE BPINETOP, AZ, 85935Browse AZ providers · Browse ZIP 85935
- Phone
- 9283673926
- Fax
- 9283674916
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PINETOP, AZ
| Name | Credential | NPI |
|---|---|---|
| SCOTT HANSON | PAC | 1306248596 |
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.