Ellis, Ryan Michael

Ellis, Ryan Michael is an individual health care provider with primary practice located at 5373 W Lake Park Blvd , West Valley City UT 84120-8208. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ellis, Ryan Michael can be contacted via phone (801) 902-8010.

Contact Information

Primary practice address
5373 W Lake Park Blvd West Valley City UT 84120-8208
Phone: (801) 902-8010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA21959 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13875135-1206 Utah

Profile Details

NPI number 1528336146
LBN Legal business name Ellis, Ryan Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2011
Last updated Aug 18th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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