Organization
PROGRESSIVE OB/GYN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE H SMALL MD (OWNER)
(909) 528-3639
Entity
Organization
Contact information
Practice address
1800 WESTERN AVE STE 101, SAN BERNARDINO, CA 92411-1352
(909) 885-1542
Mailing address
PO BOX 10999, SAN BERNARDINO, CA 92423-0999
(909) 885-1542
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/05/2021
Last updated
11/06/2021
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