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Individual

BENJAMIN ASAFO-BOAKYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1521 N 10TH ST STE F, BLYTHEVILLE, AR 72315-1424
(870) 780-6832
(870) 780-6919
Mailing address
1521 N 10TH ST STE F, BLYTHEVILLE, AR 72315-1424
(870) 780-6832
(870) 780-6919

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E4133
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154161001
AR
01
5M945
BCBS
AR
Enumeration date
07/20/2006
Last updated
11/10/2011
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