| NPI | 1063428688 |
|---|---|
| Doing Business As | ST. JUDE AFFILIATE/BATON ROUGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C CANARIOS VP/CFO 901-495-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |