MR. Jacob T. Dines, DO
NPI #1003380288 in Ridgecrest, California
Provider Information
- NPI Number
- 1003380288
- Entity Type
- Individual
- Name
- MR. Jacob T. Dines, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider
- Credential
- DO
- Enumeration Date
- Jan 22, 2019
- Last Updated
- Jul 21, 2021
Practice Location
- Address
- 1 ADMINISTRATION CIR # MS 1015
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-6104
- Phone
- (760) 939-8063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Military Health Care Provider |
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