| Doctor Name: | DR. RANDAL N ELLSWORTH |
| NPI Number: | 1588635627 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 942742051205 |
| Business Practice Address: | 1735 N State St Provo, UT - 846041010 |
| Business Phone Number: | 8013741818 |
| Business Fax Number: | 8013792959 |
| Mailing Address: | 510 W 650 S, OREM |
| State: | UT |
| Postal Code: | 840586136 |
| Phone Number: | 8012251717 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 942742051205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |