Search › Oklahoma › 103K00000X
Brandon Banta
NPI 1992375497 · on the registry since 2021
Practice
- Address
- 1012 24th Ave Nw Ste 100
Norman, OK 73069 - Phone
- (855) 223-7123
- Organisation at this address
- Quest Norman Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 124
Additional practice sites
- 1018 24th Ave Nw Ste 110, Norman, OK
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106E00000X
106S00000X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-24
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 Oklahoma