person
Ronald L Banta, DPM
Foot & Ankle Surgery Podiatrist in Indianapolis, Indiana
NPI 1649218785

Ronald L Banta is a Foot & Ankle Surgery Podiatrist based in Indianapolis, IN and is specialized in Foot & Ankle Surgery. Ronald L Banta practices in Indianapolis, IN and has the professional credentials of DPM. The NPI Number for Ronald L Banta is 1649218785 and holds a License No. 07000296A (Indiana).

The current practice location address for Ronald L Banta is 3077 E 98Th St, Indianapolis, IN and can be reached out via phone at 317-843-2613 and via fax at 317-574-5185.

Location: 3077 E 98Th St, Indianapolis, IN, 46250-2805
person
Provider Profile Details
NPI Number
1649218785
Provider Name
Ronald L Banta
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3077 E 98Th St, Indianapolis, IN, 46250-2805
Phone Number
317-843-2613
Fax Number
317-574-5185
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01424283 01 IN RAIL ROAD PTAN
100461080 05 IN
institution
Provider Business Practice Location Address Details
Address
3077 E 98Th St
City
State
Zip
46280-2940
Phone Number
317-843-2613
Fax Number
317-574-5185
person
Provider Business Mailing Address Details
Address
3077 E 98Th St
City
State
Zip
46280-2940
Phone Number
317-843-2613
Fax Number
317-574-5185
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
07000296A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07000296A (Indiana)
Definition
Definition to come...
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