Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANDREW BIRDSALL MD (VICE PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
525 W ACACIA ST, STOCKTON, CA 95203-2405
(209) 944-5550
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
03/24/2020
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