Davis, Ronald T.

Davis, Ronald T. is an individual health care provider with primary practice located at 2466 1St Ave Ste B, San Diego CA 92101-1408. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Davis, Ronald T. can be contacted via phone (619) 230-0400.

Contact Information

Primary practice address
2466 1St Ave Ste B San Diego CA 92101-1408
Phone: (619) 230-0400
Fax: (619) 325-3688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G21783 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G21783 California

Profile Details

NPI number 1184622532
LBN Legal business name Davis, Ronald T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184622532 NPPES
California Other G21783 CALIFORNIA LICENSE
California MEDICAID 00G217830 CALIFORNIA LICENSE

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