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Contact Information

RYAN K ANDERSON D P M P C
105 MILLS AVE
STE 100
LAS VEGAS, NM87701-4169
 Phone: 505-425-3569
 Fax: 505-434-0042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

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

NPI # 1700237278
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2016
Last updated 11/04/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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