Individual
DR. RYAN JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907-8703
(719) 630-3937
Mailing address
5446 ARDEN GRV, COLORADO SPRINGS, CO 80922-3277
(218) 242-3565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0004030
CO
Other
Enumeration date
05/09/2024
Last updated
07/03/2024
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