JOHN BRYAN ELLSWORTH

Dr JOHN BRYAN ELLSWORTH is a male medical professional, specializing in Urology. He graduated in 1991 from University Of Nevada School Of Medicine.

Contact

736 S 900
SUITE 108
SAINT GEORGE
UT
847907002

Tel:

JOHN BRYAN ELLSWORTH Information

Npi 1083619043
Pac Id 2163698648
Professional Enrollment Id I20120224000426
Last Name ELLSWORTH
First Name JOHN
Middle Name BRYAN
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 736 S 900
Line 2 Street Address SUITE 108
Marker Of Address Line 2 Suppression
City SAINT GEORGE
State UT
Zip Code 847907002
Phone Number
Hospital Affiliation Ccn 1 460021
Hospital Affiliation Lbn 1 DIXIE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 291307
Hospital Affiliation Lbn 2 MESA VIEW REGIONAL HOSPITAL
Hospital Affiliation Ccn 3 460007
Hospital Affiliation Lbn 3 CEDAR CITY HOSPITAL
Hospital Affiliation Ccn 4 461309
Hospital Affiliation Lbn 4 KANE COUNTY HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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