Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (VICE PRESIDENT & SECRETARY)
(510) 350-2600
Entity
Organization
Contact information
Practice address
400 SIERRA COLLEGE DR STE B, GRASS VALLEY, CA 95945-5093
(530) 272-3428
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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