ST. JUDE CHILDREN'S RESEARCH HOSPITAL NPI 1063428688

NPI Information

ST. JUDE CHILDREN'S RESEARCH HOSPITAL is a pediatric hematology-oncology pediatrics in Baton Rouge, LA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. ST. JUDE CHILDREN'S RESEARCH HOSPITAL NPI is 1063428688. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Jude Affiliate/baton Rouge.

The provider's business location address is:

7777 HENNESSY BLVD
STE. 312
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 763-6337
Fax: (225) 761-4072

The provider's authorized official is Michael C Canarios .
The authorized official title is Vp/cfo and has the following contact phone number (901) 495-3006.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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