Organization
CEP AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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