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Organization
ASTHMA & ALLERGY CENTER
Active
Organization
ASTHMA & ALLERGY CENTER
Active
Other names
ASTHMA & ALLERGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN IYIOLA OYEFARA M.D. (PRESIDENT&MEDICAL DIRECTOR)
(318) 398-7100
Entity
Organization
Contact information
Practice address
2908 EVANGELINE ST, MONROE, LA 71201-3724
(318) 398-7100
(318) 398-7110
Mailing address
2908 EVANGELINE ST, MONROE, LA 71201-3724
(318) 398-7100
(318) 398-7110
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12870R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548316
—
LA
Enumeration date
03/23/2007
Last updated
08/22/2020
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