Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN BANTA
Active Sole ProprietorRYAN BANTA is a Foot & Ankle Surgery healthcare provider located in FRIENDLY, West Virginia. NPI 1629691811 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · FRIENDLY, WV
Registration Details
- NPI Number
- 1629691811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2020 (6.2760405494041 yrs)
- Last Updated
- May 21, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
436 FRIENDLY HILL RDFRIENDLY, WV, 261467400Browse WV providers · Browse ZIP 26146
- Phone
- 3043126940
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.