Individual
JON CHRISTOPHER BANWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 MEDICAL CENTER PKWY STE 310, BENTONVILLE, AR 72712-3214
(479) 553-3360
(479) 553-1911
Mailing address
2900 MEDICAL CENTER PKWY STE 310, BENTONVILLE, AR 72712-3214
(479) 553-3360
(479) 553-1911
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-26856
KS
207X00000X
Orthopaedic Surgery Physician
107602
MO
207X00000X
Orthopaedic Surgery Physician
29046
OK
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
E-19533
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100332710D
—
KS
05
—
10033710V
—
KS
05
—
204725600
—
MO
01
—
OKA105515
NOVITAS
OK
Enumeration date
06/29/2006
Last updated
09/22/2025
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