Individual
RYAN DANIEL BANGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13660 N 94TH DR STE D1, PEORIA, AZ 85381-4836
(623) 974-0522
(623) 933-5787
Mailing address
13660 N 94TH DR STE D1, PEORIA, AZ 85381-4836
(623) 974-0522
(623) 933-5787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD-000975
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-000975
AZ
Other
Enumeration date
08/16/2017
Last updated
02/06/2023
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