MEDICARE: DR. DAVID R MINOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	G29840	CA

General Provider Information

NPI Number	:	1023042942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID R MINOR MD

Provider Business Mailing Address
First Line	:	2100 WEBSTER ST
Second Line	:	#326
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2378
Country	:	US
Telephone Number	:	415-885-8600
Fax Number	:	415-885-8680

Provider Business Practice Location Address
First Line	:	2100 WEBSTER ST
Second Line	:	#326
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2378
Country	:	US
Telephone Number	:	415-885-8600
Fax Number	:	415-885-8680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	06/05/2013

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