NPI 1053334730

Ryan K Anderson, DPM

Practitioner Foot & Ankle Surgery Podiatrist Bountiful, UT

Practice location

Address: 596 W 750 S Suite 200, Bountiful, UT 84010-7268
Phone: (801) 292-4425
Fax: (801) 397-1938

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 282785-0501 (UT)

Other Podiatrist providers in Utah →

Pathology Specialist/Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X Licence 46D2116123 (UT)

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Registry record

NPI: 1053334730
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2006
Record last updated: 28 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.