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Organization
HD PHYSICAL MEDICINE, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
HD PHYSICAL MEDICINE, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
DBA: STINE CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL L STINE D.C. (VICE PRESIDENT)
(760) 245-8182
Entity
Organization
Contact information
Practice address
17330 BEAR VALLEY RD, STE 105, VICTORVILLE, CA 92395
(760) 245-8182
(760) 245-2123
Mailing address
17330 BEAR VALLEY RD, STE 105, VICTORVILLE, CA 92395
(760) 245-8182
(760) 245-2123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/02/2006
Last updated
04/10/2025
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