Doctor Name: | DR. MARK OKAFOR |
NPI Number: | 1942582721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARM.D, PH.D. |
License Number: | SEETRAININGPERMIT |
Business Practice Address: | 1000 Sagamore Pkwy W W Lafayette, IN - 479061446 |
Business Phone Number: | 7654972300 |
Business Fax Number: | |
Mailing Address: | Po Box 2801, WEST LAFAYETTE |
State: | IN |
Postal Code: | 479962801 |
Phone Number: | 7654183729 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2011 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | SEETRAININGPERMIT |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |