Provider Demographics
NPI:1023042942
Name:MINOR, DAVID R (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:MINOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2100 WEBSTER ST
Mailing Address - Street 2:#326
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2378
Mailing Address - Country:US
Mailing Address - Phone:415-885-8600
Mailing Address - Fax:415-885-8680
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:#326
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2378
Practice Address - Country:US
Practice Address - Phone:415-885-8600
Practice Address - Fax:415-885-8680
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-06-05
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Provider Licenses
StateLicense IDTaxonomies
CAG29840207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A44185Medicare UPIN