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Organization
RYAN K ANDERSON D P M P C
Active
Organization
RYAN K ANDERSON D P M P C
Active
Other names
Foot & Ankle Specialists of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN K ANDERSON DPM (SOLE OWNER)
(206) 703-2204
Entity
Organization
Contact information
Practice address
596 W 750 S STE 200, BOUNTIFUL, UT 84010-7281
(206) 703-2204
(801) 397-1938
Mailing address
434 W ASCENSION WAY STE 425, MURRAY, UT 84123-3102
(206) 703-2204
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
247100000X
Radiologic Technologist
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529471093001
—
UT
01
—
74619
PEHP
UT
Enumeration date
03/08/2007
Last updated
12/31/2025
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