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Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (AUTHORIZED OFFICAL)
(800) 516-5315
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 854-7000
Mailing address
PO BOX 45741, SAN FRANCISCO, CA 94145-0741
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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