Organization
CEP AMERICA LLC
Active
Organization
CEP AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL M.D (C.O.O)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000
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
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
04/01/2020
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