Individual
DR. JON WALTER MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1420 S MILLER ST, SUITE J, SANTA MARIA, CA 93454-6959
(805) 922-3573
(805) 922-7972
Mailing address
1420 S MILLER ST, SANTA MARIA, CA 93454-6959
(805) 922-3573
(805) 922-7972
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A6626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX66260
—
CA
Enumeration date
08/10/2006
Last updated
02/10/2012
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