RONALD L BANTA DPM
Individual Provider (NPI-1)
Active
Podiatrist, Sports Medicine
Provider Information
- NPI Number
1649218785- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DPM
- Status
- Active
Contact & Location
- Address
- 3077 E 98TH ST, INDIANAPOLIS, IN, 462802940
- Phone
- (317) 843-2613
- Fax
- (317) 574-5185
Specialties & Taxonomies
Podiatrist, Sports Medicine
Primary License: IN #07000296A
Podiatrist, Foot & Ankle Surgery
License: IN #07000296A
All Addresses
MAILING
6626 E 75TH ST STE 500
INDIANAPOLIS, IN, 462502805