Individual
BENJAMIN IYIOLA OYEFARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2908 EVANGELINE ST, MONROE, LA 71201-3724
(318) 398-7100
Mailing address
2908 EVANGELINE ST, MONROE, LA 71201-3724
(318) 398-7100
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12870R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548316
—
LA
Enumeration date
06/25/2006
Last updated
05/14/2008
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