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Organization

HARRIET TUBMAN MEDICAL OFFICE

Active
Other names
Tolbert J. Small, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TOLBERT JONES SMALL M.D. (OWNER/DIRECTOR)
(510) 286-8300
Entity
Organization

Contact information

Practice address
819 FOOTHILL BLVD, OAKLAND, CA 94606-3011
(510) 286-8300
(510) 286-8311
Mailing address
819 FOOTHILL BLVD, OAKLAND, CA 94606-3011
(510) 286-8300
(510) 286-8311

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A232820
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A232820
CA
01
1740283464
NPI
CA
01
34600
STATE MEDICAL LIC
MI
01
6674
STATE MEDICAL LIC
MS
01
A23282
STATE MEDICAL LIC
CA
Enumeration date
10/04/2006
Last updated
03/07/2023
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