Individual
MR. BENJAMIN FRANKLIN EVANS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
OCHSNER 1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(504) 736-4800
Mailing address
5855 WALNUT CREEK RD, APT B114, RIVER RIDGE, LA 70123-5620
(724) 622-9044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200438
LA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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