Organization
RYAN K ANDERSON D P M P C
Active
Other names
FOOT AND ANKLE SPECIALISTS OF NORTHERN NEW MEXICO
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN K ANDERSON DPM (OWNER)
(801) 292-4425
Entity
Organization
Contact information
Practice address
105 MILLS AVE, STE 100, LAS VEGAS, NM 87701-4169
(505) 425-3569
(505) 434-0042
Mailing address
105 MILLS AVE STE 100, LAS VEGAS, NM 87701-4169
(505) 425-3569
(505) 434-0042
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/27/2016
Last updated
11/04/2025
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