Radiation Oncology Center - Zachary

NPI #1306355102 in Zachary, Louisiana

Provider Information

NPI Number: 1306355102
Entity Type: Organization
Organization Name: Radiation Oncology Center - Zachary
Primary Specialty: Clinic/Center - Oncology, Radiation
Enumeration Date: Sep 25, 2017
Last Updated: Sep 25, 2017

Practice Location

Address: 6180 MAIN STREET
Address 2: STE B
City: Zachary
State: Louisiana
ZIP Code: 70791
Phone: (225) 570-1212

Authorized Official

Name: KENDALL JOHNSON
Title: CHIEF FINANCIAL OFFICER
Phone: (225) 763-4791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oncology, Radiation — Oncology, Radiation	261QX0203X	Primary

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