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NPI Code Detail

MEDICARE: DR. IAIN JACOB MACEWAN M.D.

MEDICARE:  DR. IAIN JACOB MACEWAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianA129079CA

General Provider Information

NPI Number : 1326300401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IAIN JACOB MACEWAN M.D.
Provider Business Mailing Address
First Line : PO BOX 232410
Second Line :
City : SAN DIEGO
State : CA
Zip : 92193-2410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9730 SUMMERS RIDGE RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-3101
Country : US
Telephone Number : 858-822-4048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2012
Last Update Date : 07/25/2022

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Directions to “ DR. IAIN JACOB MACEWAN M.D.” Practice Location

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