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Contact Information

RYLEY ANDERSEN, DPM
10109 E 79TH ST
TULSA, OK74133-4564
 Phone: 918-233-9550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RYLEY ANDERSEN · (Male)

NPI Number 1528646940
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/29/2021
Last updated 06/22/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 395
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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