# RYAN FOOT & ANKLE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RYAN FOOT & ANKLE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427106061
- **Authorized official:** DR. JEFFREY J GLASER (ASSOCIATE)
- **Authorized official phone:** (704) 376-3947

## Contact information

- **Practice address:** 2200 RANDOLPH RD, CHARLOTTE, NC 28207-1126
- **Practice address phone:** (704) 376-3947
- **Practice address fax:** (704) 376-3947
- **Mailing address:** 2200 RANDOLPH RD, CHARLOTTE, NC 28207-1126
- **Mailing address phone:** (704) 376-3947
- **Mailing address fax:** (704) 376-9487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 450 | NC | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020