DR. Jonathan Christopher Banta, M.D.

NPI #1427440791 in Travis Afb, California

Provider Information

NPI Number: 1427440791
Entity Type: Individual
Name: DR. Jonathan Christopher Banta, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Feb 24, 2015
Last Updated: Aug 14, 2025

Practice Location

Address: 60 MDG/SGGX
Address 2: 101 BODIN CIR
City: Travis Afb
State: California
ZIP Code: 94535-1809
Phone: (707) 423-5105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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