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Search › California › 111N00000X

Ethan Stine, DC

NPI 1922693753 · on the registry since 2021

Practice

Address
17330 Bear Valley Rd Ste 105
Victorville, CA 92395
Phone
(760) 245-8182
Organisation at this address
Westside Premier Med Grp
Hd Physical Medicine, A Professional Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California