Individual
DR. RYAN MARK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
3340 N CENTER ST STE 800, LEHI, UT 84043-7406
(801) 990-1911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
006903
AZ
207L00000X
Anesthesiology Physician
Primary
12503048-8904
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2012
Last updated
10/11/2022
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