Individual
EBENEZER BERKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6917
(318) 448-6866
Mailing address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6917
(318) 448-6866
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD.204538
LA
207RX0202X
Medical Oncology Physician
036104008
IL
Other
Enumeration date
06/19/2006
Last updated
06/28/2011
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