Individual
ROGER LAFE BENJAMIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
314 MDOS/SGOAE, 1090 ARNOLD DRIVE, LITTLE ROCK AFB, AR 72099-0001
(501) 987-8072
Mailing address
400 NORTHPORT DR, CABOT, AR 72023-6022
(501) 605-8038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3759T
TX
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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