Individual
JEFFREY DINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 SOUTH NEW BALLAS, TYP, ST. LOUIS, MO 63141-6202
(314) 251-6930
(314) 251-4454
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4483
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2013020424
MO
2085R0202X
Diagnostic Radiology Physician
Primary
299406
NY
Other
Enumeration date
06/25/2013
Last updated
04/15/2021
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