Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (AUTHORIZED REPRESENTATIVE)
(510) 350-2600
Entity
Organization
Contact information
Practice address
900 WELCH RD, 300, PALO ALTO, CA 94304-1805
(650) 325-6000
Mailing address
PO BOX 45741, SAN FRANCISCO, CA 94145-0741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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