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Organization

CEPAMERICA ILLINOIS LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BIRDSALL MD (ADMINISTRATIVE VP OF OPERATIONS)
(510) 350-2600
Entity
Organization

Contact information

Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2680
(510) 879-9074

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
02/02/2018
Last updated
04/07/2020
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