Individual
DR. TERRY M. RANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
14420 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5286
(623) 972-6131
Mailing address
15887 W WINDSOR AVE, GOODYEAR, AZ 85338-1428
(623) 535-1230
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
651
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138590
—
MI
01
—
48-55253850
BCBS
MI
Enumeration date
02/23/2007
Last updated
07/08/2007
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