Ronald L Banta DPM

NPI 1649218785 - Podiatrist - 213ES0103X

NPI Details
NPI 1649218785
Gender Male
Enumeration Date 06/02/2006
Last Updated 04/14/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3077 E 98TH ST
INDIANAPOLIS IN, 46280-2940, US
Phone (317) 843-2613
Fax (317) 574-5185
Business Location
6626 E 75TH ST
STE 500
INDIANAPOLIS IN, 46250-2805, US
Phone
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Indiana
License Number 07000296A
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According to our database, Ronald L Banta DPM NPI is 1649218785, taxonomy code is 213ES0103X and license number is 07000296A, license state is located at Indiana. Ronald L Banta DPM physically located at 3077 E 98th St, Indianapolis IN, 46280-2940. NPI Number Ronald L Banta DPM has the Individual type.

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1649218785 NPI number is provided on an as is basis without warranty of any kind. 1649218785 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald L Banta DPM are for informational purposes only.