Individual
DR. AMY E BANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11693 FALL CREEK RD STE 140, INDIANAPOLIS, IN 46256-9446
(317) 703-4431
(866) 475-6765
Mailing address
11693 FALL CREEK RD STE 140, INDIANAPOLIS, IN 46256-9446
(317) 703-4431
(866) 475-6765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045411
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173180
—
IN
Enumeration date
10/20/2005
Last updated
07/18/2023
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