# RONALD L BANTA, DPM, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326217563
- **Authorized official:** DR. RONALD L BANTA DPM (PRESIDENT)
- **Authorized official phone:** (317) 843-2613

## Contact information

- **Practice address:** 3077 E 98TH ST, INDIANAPOLIS, IN 46280-2940
- **Practice address phone:** (317) 843-2613
- **Practice address fax:** (317) 574-5185
- **Mailing address:** 3077 E 98TH ST, INDIANAPOLIS, IN 46280-2940
- **Mailing address phone:** (317) 843-2613
- **Mailing address fax:** (317) 574-5185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 08/18/2008