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Organization

MARY BIRD PERKINS CANCER CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB KRAFT (DECISION SUPPORT MANAGER)
(225) 215-1281
Entity
Organization

Contact information

Practice address
4950 ESSEN LANE, BATON ROUGE, LA 70809
(225) 215-1223
(225) 766-0218
Mailing address
5215 ESSEN LN STE 200, BATON ROUGE, LA 70809-3543
(225) 215-1281
(225) 215-1380

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
2085R0001X
Radiation Oncology Physician
2085R0202X
Diagnostic Radiology Physician
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
09/20/2006
Last updated
12/12/2025
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