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Organization

RADIATION ONCOLOGY CENTER - ZACHARY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENDALL JOHNSON (CHIEF FINANCIAL OFFICER)
(225) 763-4791
Entity
Organization

Contact information

Practice address
6180 MAIN STREET, STE B, ZACHARY, LA 70791
(225) 570-1212
(225) 570-4860
Mailing address
6180 MAIN STREET, STE B, ZACHARY, LA 70791
(225) 570-1212
(225) 570-4860

Taxonomy

Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary

Other

Enumeration date
09/25/2017
Last updated
09/25/2017
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