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Contact Information

RYAN K ANDERSON D P M P C
596 W 750 S STE 200
BOUNTIFUL, UT84010-7281
 Phone: 206-703-2204
 Fax: 801-397-1938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Radiologic Technologist

247100000X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for RYAN K ANDERSON D P M P C · (Female)

NPI # 1639200215
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2007
Last updated 12/31/2025 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers
  • UT Medicaid 529471093001
  • UT Other 74619 PEHP
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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