Individual
BEN A VIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
601 WEST ST MARY BLVD, STE 106, LAFAYETTE, LA 70506
(337) 232-3576
(337) 233-0816
Mailing address
PO BOX 51985, LAFAYETTE, LA 70505-1985
(337) 232-3576
(337) 233-2816
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD034R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1318191
—
LA
Enumeration date
08/21/2006
Last updated
03/28/2008
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