Organization
CEP AMERICA - AUC PC
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 947-5399
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
03/30/2020
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