Whalio Doctors

NPI 1104342781

Ryan Daniel Bangart, DPM

Practitioner Foot & Ankle Surgery Podiatrist Peoria, AZ

Practice location

Address
13660 N 94th Dr STE D1, Peoria, AZ 85381-4836
Phone
(623) 974-0522
Fax
(623) 933-5787

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD-000975 (AZ)
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence POD-000975 (AZ)

Registry record

NPI
1104342781
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Aug 2017
Record last updated
6 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.