| Ethan Gabriel Stine, DC | |
|
17330 Bear Valley Rd Ste 105, Victorville, CA 92395-7741 | |
| (760) 245-8182 | |
| Not Available |
| Full Name | Ethan Gabriel Stine |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 17330 Bear Valley Rd Ste 105, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922693753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC34952 (California) | Primary |
| Provider Name | Hd Physical Medicine A Professional Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982633863 PECOS PAC ID: 3678974243 Enrollment ID: O20210820003081 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Gabriel Stine, DC 17330 Bear Valley Rd Ste 105, Victorville, CA 92395-7741 Ph: (760) 245-8182 | Ethan Gabriel Stine, DC 17330 Bear Valley Rd Ste 105, Victorville, CA 92395-7741 Ph: (760) 245-8182 |
Dr. Kathleen Anne Digiorgio, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13024 Hesperia Rd, Suite 101, Victorville, CA 92395 Phone: 760-951-4811 Fax: 760-951-4833 | |
Gabriel L Stine, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 17330 Bear Valley Rd, Ste 105, Victorville, CA 92395 Phone: 760-245-8182 Fax: 760-245-2123 | |
Dr. Christal Lynn Glaser, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12571 Hesperia Rd, Victorville, CA 92395 Phone: 949-459-8127 Fax: 760-241-2100 | |
Dr. Michael C Cruz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 17330 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8182 Fax: 760-245-2123 | |
Arrow Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15000 Seventh St, Suite 102, Victorville, CA 92395 Phone: 760-952-3800 Fax: 760-245-9754 | |
Kaleb Bryant, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 17330 Bear Valley Rd, Ste 105, Victorville, CA 92395 Phone: 760-245-8182 Fax: 760-245-2123 | |
High Desert Medical Office Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14298 St. Andrews Dr, Suite 11, Victorville, CA 92395 Phone: 760-243-2311 Fax: 760-243-2880 |