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Organization
CEP AMERICA - AUC PC
Active
Organization
CEP AMERICA - AUC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL (C.O.O)
(510) 350-2600
Entity
Organization
Contact information
Practice address
240 LA CASA VIA STE 200, WALNUT CREEK, CA 94598-4866
(925) 945-6644
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
01/09/2020
Last updated
02/11/2020
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