Organization
PROGRESSIVE MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE THORN (PRESIDENT)
(330) 754-2370
Entity
Organization
Contact information
Practice address
4774 MUNSON ST NW, SUITE 204, CANTON, OH 44718-3634
(330) 475-2370
Mailing address
4774 MUNSON ST NW, SUITE 204, CANTON, OH 44718-3634
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
OH
208100000X
Physical Medicine & Rehabilitation Physician
—
OH
2084P0800X
Psychiatry Physician
—
OH
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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