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Organization

RONALD L BANTA, DPM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD L BANTA DPM (PRESIDENT)
(317) 843-2613
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
02/21/2008
Last updated
08/18/2008
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