Organization
CEP AMERICA - INTENSIVISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization
Contact information
Practice address
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1436
(707) 576-4000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 851-7501
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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