Tanner S. Ellsworth
MD | Pediatrics | Male
Tanner S. Ellsworth, MD is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tanner S. Ellsworth is
81 N Mario Capecchi Dr, Salt Lake City, Utah - 84113-1125. He can be contacted on phone at
801-662-5700.
Tanner S. Ellsworth is a sole proprietor of his business.
NPI number (Unique professional ID) for Tanner S. Ellsworth is
1730767872 which was assigned by NPPES on 30 Mar, 2021 and it was last updated on 10 Aug, 2022.
Tanner S. Ellsworth license number is
12974676-1205 for Pediatrics (208000000X) in Utah.
Tanner S. Ellsworth is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tanner S. Ellsworth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tanner S. Ellsworth |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Tanner S. Ellsworth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 81 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1125
United States |
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| Phone Number : | 801-662-5700 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730767872 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Mar, 2021 |
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| Last Updated On : | 10 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanner S. Ellsworth are as mentioned. Primary taxonomy code for Tanner S. Ellsworth, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 12974676-1205 | UT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 81 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1125
United States |
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| Phone Number : | 801-662-5700 |
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Business Location:
Patients can refer following map for directions to
Tanner S. Ellsworth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.