Organization
CEP AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY M.D. (C.O.O.)
(510) 350-2600
Entity
Organization
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
2100 POWELL ST, STE. 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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