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Individual

DR. BENEDICT EKUNDAYO IDOWU SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3636 S SHERWOOD FOREST BLVD STE 650, BATON ROUGE, LA 70816-5216
(225) 756-2180
(225) 756-2179
Mailing address
3684 S COTTAGES AVE, BATON ROUGE, LA 70816-2790
(504) 858-5553
(225) 296-1642

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
021809
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1997561
LA
Enumeration date
05/05/2006
Last updated
10/16/2023
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