Individual
DR. IAIN JACOB MACEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9730 SUMMERS RIDGE RD, SAN DIEGO, CA 92121-3101
(858) 822-4048
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A129079
CA
Other
Enumeration date
06/13/2012
Last updated
07/25/2022
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