# BEN A. VIERRA, APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215103445
- **Authorized official:** DR. JEFFERY RYAN GRIZZAFFI DPM (OWNER)
- **Authorized official phone:** (337) 232-3576

## Contact information

- **Practice address:** 901 WILSON ST STE C-2, LAFAYETTE, LA 70503-2439
- **Practice address phone:** (337) 232-3576
- **Practice address fax:** (337) 233-2816
- **Mailing address:** 901 WILSON ST STE C-2, LAFAYETTE, LA 70503-2439
- **Mailing address phone:** (337) 232-3576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | DPM.PD034R | LA | — |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 11/04/2024