Organization
CEP AMERICA - NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL M.D. (VP & SECRETARY)
(510) 350-2600
Entity
Organization
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 462-3111
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
08/30/2022
Last updated
08/30/2022
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