MEDICARE: DR. MEGHAN W MACOMBER

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
1	2085R0001X	Radiation Oncology Physician	A156725	CA
2	2085R0203X	Therapeutic Radiology Physician	ML60362626	WA

General Provider Information

NPI Number	:	1720421142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGHAN W MACOMBER

Provider Business Mailing Address
First Line	:	10470 OLD PLACERVILLE RD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2539
Country	:	US
Telephone Number	:	800-470-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	3581 PALMER DR STE 303
Second Line	:
City	:	CAMERON PARK
State	:	CA
Zip	:	95682-8237
Country	:	US
Telephone Number	:	530-672-3500
Fax Number	:	530-672-1385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	08/08/2018

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Directions to “ DR. MEGHAN W MACOMBER ” Practice Location

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