Search › West Virginia › 3747P1801X

Ryan Banta

NPI 1629691811 · on the registry since 2020 · sole proprietor

Practice

Address
436 Friendly Hill Rd
Friendly, WV 26146
Phone
(304) 312-6940

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia