Individual
RYAN JOHN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 30TH ST STE 314, OAKLAND, CA 94609-3312
(510) 465-6800
Mailing address
411 30TH ST STE 314, OAKLAND, CA 94609-3312
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A140880
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2014
Last updated
01/14/2021
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