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Organization

CEP AMERICA - NEUROLOGY PC

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
384 SE COMBS FLAT RD, PRINEVILLE, OR 97754-2562
(541) 447-6254
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
11/21/2018
Last updated
01/02/2020
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