Organization
RYAN K ANDERSON D P M P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY LOFTHOUSE (CREDENTIALING SPECIALIST)
(530) 925-6027
Entity
Organization
Contact information
Practice address
1561 W 7000 S STE 201, WEST JORDAN, UT 84084-3556
(801) 569-2696
Mailing address
1561 W 7000 S STE 201, WEST JORDAN, UT 84084-3556
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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