Individual
DR. GEORGE H SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1800 WESTERN AVE STE 101, SAN BERNARDINO, CA 92411-1352
(909) 885-1542
(909) 327-2756
Mailing address
PO BOX 10999-0999, SAN BERNARDINO, CA 92423
(909) 528-3639
(909) 783-8985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34324
CA
207V00000X
Obstetrics & Gynecology Physician
A34324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992460794
—
CA
Enumeration date
10/03/2006
Last updated
01/30/2024
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