# ST. JUDE CHILDREN'S RESEARCH HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Jude Affiliate/Baton Rouge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063428688
- **Authorized official:** MICHAEL C CANARIOS (VP/CFO)
- **Authorized official phone:** (901) 495-3006

## Contact information

- **Practice address:** 7777 HENNESSY BLVD, STE. 312, BATON ROUGE, LA 70808-4300
- **Practice address phone:** (225) 763-6337
- **Practice address fax:** (225) 761-4072
- **Mailing address:** 7777 HENNESSY BLVD, STE. 312, BATON ROUGE, LA 70808-4300
- **Mailing address phone:** (225) 763-6337
- **Mailing address fax:** (225) 761-4072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | LA | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 08/22/2020