NPI 1154388163

West Jefferson Radiation Oncology,llc

Organisation Specialist Marrero, LA

Practice location

Address: 1101 Medical Center Blvd, Marrero, LA 70072-3147
Phone: (504) 349-1637
Fax: (504) 349-1490
Mailing address: PO Box 1016, Thibodaux, LA 70302-1016

Authorised official

Name: Raymond Clay Gould
Title: Owner
Phone: (985) 493-4338

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1154388163
Entity type: Organization
NPI issued: 26 Apr 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.