Organization · Type 2 NPI
St. Elizabeth-Mary Bird Perkins Cancer Center, L.l.c.
Radiation Oncology Physician · Gonzales, LA
NPI number
1619155124
Active
Practice location
1104 W Highway 30
Gonzales, LA 70737-5003
Fax (225) 766-0218
Mailing address
5215 Essen Ln Ste 200
Baton Rouge, LA 70809-3543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | None listed |
| Radiation Oncology Physician Primary | 2085R0001X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
| Therapeutic Radiology Physician | 2085R0203X | None listed |
Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
2 other providers at this address
About NPI 1619155124
St. Elizabeth-Mary Bird Perkins Cancer Center, L.l.c.'s National Provider Identifier is 1619155124, issued on Feb 6, 2008. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Gonzales, LA. The record was last updated on Dec 18, 2025.