Individual
DR. RONALD T. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2466 1ST AVE, STE B, SAN DIEGO, CA 92101-1408
(619) 230-0400
(619) 325-3688
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(619) 220-4100
(619) 270-3423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G21783
CA
2085R0001X
Radiation Oncology Physician
Primary
G21783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G217830
—
CA
01
—
G21783
CALIFORNIA LICENSE
CA
Enumeration date
07/11/2005
Last updated
03/07/2023
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