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Organization

CEP AMERICA-TELEHEALTH, PC

Active
Other names
Vituity
Organization subpart
No

Provider details

NPI number
Authorized official
THEOPHILE KOURY M.D (PRESIDENT)
(510) 350-2600
Entity
Organization

Contact information

Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 673-0611
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
09/12/2016
Last updated
02/02/2018
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