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Contact Information

RYAN M ANDERSON, DO
5121 S COTTONWOOD ST
MURRAY, UT84107-5701
 Phone: 801-507-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RYAN M ANDERSON · (Male)

NPI # 1710253810
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/22/2012
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 006903
  • UT License # 12503048-8904
Hospital affiliation(s)
  • BANNER GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1111 EAST MCDOWELL ROAD
    PHOENIX, AZ 85006
  • ST JOSEPH'S HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 WEST THOMAS ROAD
    PHOENIX, AZ 85013
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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