Individual provider · NPI-1

Justin Dye, M.D.

Neurological Surgery · Loma Linda, CA

NPI number1629212535
StatusActive
Last updated in NPPESApr 15, 2020

Details

NPI
1629212535
Entity type
Individual (NPI-1)
Name
Justin Dye
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 22, 2009
Certification date
Apr 15, 2020
Last updated
Apr 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological SurgeryA107923CAYes

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-6388 · Fax 909-558-6309

Mailing address

25455 Barton Rd Ste 108a
Loma Linda, CA 92354-3139

Phone 909-558-6388

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