Organization
CEP AMERICA - NEUROLOGY PC
Active
Organization
CEP AMERICA - NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (VICE PRESIDENT AND SECRETARY)
(510) 350-2600
Entity
Organization
Contact information
Practice address
205 TRINITY WAY, SAINT JOHNS, FL 32259-1155
(904) 450-8120
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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