Individual
DR. RYAN K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
596 W 750 S, SUITE 200, BOUNTIFUL, UT 84010-7268
(801) 292-4425
(801) 397-1938
Mailing address
596 W 750 S, SUITE 200, BOUNTIFUL, UT 84010-7268
(801) 292-4425
(801) 397-1938
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
282785-0501
UT
246Q00000X
Pathology Specialist/Technologist
46D2116123
UT
Other
Enumeration date
07/25/2006
Last updated
11/28/2016
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