# RYAN K ANDERSON D P M P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOOT AND ANKLE SPECIALISTS OF NORTHERN NEW MEXICO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700237278
- **Authorized official:** RYAN K ANDERSON DPM (OWNER)
- **Authorized official phone:** (801) 292-4425

## Contact information

- **Practice address:** 105 MILLS AVE, STE 100, LAS VEGAS, NM 87701-4169
- **Practice address phone:** (505) 425-3569
- **Practice address fax:** (505) 434-0042
- **Mailing address:** 105 MILLS AVE STE 100, LAS VEGAS, NM 87701-4169
- **Mailing address phone:** (505) 425-3569
- **Mailing address fax:** (505) 434-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 11/04/2025