Individual provider · Type 1 NPI

Ethan Gabriel Stine, DC

Chiropractor · Victorville, CA

NPI number 1922693753 Active

Practice location

17330 Bear Valley Rd Ste 105
Victorville, CA 92395-7741

Call (760) 245-8182 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC34952 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1922693753

Ethan Gabriel Stine, DC's National Provider Identifier is 1922693753, issued on Mar 3, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Victorville, CA. The record was last updated on Mar 3, 2021.