Provider First Line Business Practice Location Address: 
DEPARTMENT OF RADIATION ONCOLOGY
    Provider Second Line Business Practice Location Address: 
1600 DIVISADERO ST, SUITE H1031
    Provider Business Practice Location Address City Name: 
SAN FRANCISCO
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
94143-1708
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
415-514-2345
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
03/19/2012