Provider First Line Business Practice Location Address: 
900 HYDE ST
    Provider Second Line Business Practice Location Address: 
LEVEL B DEPARTMENT OF RADIATION ONCOLOGY
    Provider Business Practice Location Address City Name: 
SAN FRANCISCO
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
94109
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
415-353-6420
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/31/2011