Organization
CEP AMERICA LLC
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL M.D. (COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4000
(425) 640-4024
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/07/2009
Last updated
04/01/2020
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