Individual
RYLEY ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 233-9550
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
395
OK
Other
Enumeration date
03/29/2021
Last updated
06/22/2024
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