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Contact Information

RYAN K ANDERSON, DPM
596 W 750 S
SUITE 200
BOUNTIFUL, UT84010-7268
 Phone: 801-292-4425
 Fax: 801-397-1938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Specialist/Technologist, Pathology

246Q00000X
Indicates primary specialty

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

NPI Number 1053334730
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/25/2006
Last updated 11/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 282785-0501
  • UT License # 46D2116123
Hospital affiliation(s) Not Available
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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