Individual
RYAN ALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1134 E 2100 S, SALT LAKE CITY, UT 84106-2802
(801) 463-2712
(801) 466-6271
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113253-9934
UT
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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