Provider Demographics
NPI:1437424793
Name:RALEIGH, DAVID RONAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RONAN
Last Name:RALEIGH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF RADIATION ONCOLOGY
Mailing Address - Street 2:1600 DIVISADERO ST, SUITE H1031
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-1708
Mailing Address - Country:US
Mailing Address - Phone:415-514-2345
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF RADIATION ONCOLOGY
Practice Address - Street 2:1600 DIVISADERO ST, SUITE H1031
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-1708
Practice Address - Country:US
Practice Address - Phone:415-514-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1283892085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology