Individual
DAVID CHRISTIAN OSAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-3690
Mailing address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-3690
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD.200842
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1583251
—
LA
01
—
4K1897387
MEDICARE
LA
Enumeration date
06/26/2006
Last updated
08/25/2011
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