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Organization

CEP AMERICA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BIRDSALL MD (COO OF CLINICAL OPERATIONS)
(510) 851-7501
Entity
Organization

Contact information

Practice address
3800 SAINT MARY DR., VALPARAISO, IN 46383-3986
(219) 286-3700
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 851-7501

Taxonomy

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

Other

Enumeration date
09/23/2024
Last updated
09/23/2024
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