Organization
BEN A. VIERRA, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY RYAN GRIZZAFFI DPM (OWNER)
(337) 232-3576
Entity
Organization
Contact information
Practice address
901 WILSON ST STE C-2, LAFAYETTE, LA 70503-2439
(337) 232-3576
(337) 233-2816
Mailing address
901 WILSON ST STE C-2, LAFAYETTE, LA 70503-2439
(337) 232-3576
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
DPM.PD034R
LA
Other
Enumeration date
05/07/2008
Last updated
11/04/2024
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