Individual
ERIC BANTAYAN RANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 W FINANCIAL PKWY STE 102, ROGERS, AR 72758-1499
(479) 877-7780
(479) 877-7781
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 877-7780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-18274
AR
207R00000X
Internal Medicine Physician
ME92650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272227500
—
FL
Enumeration date
12/01/2005
Last updated
08/22/2025
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