Organization
CEP AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEOPHILE KOURY (C.O.O.)
(510) 350-2600
Entity
Organization
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(615) 384-2411
Mailing address
2100 POWELL STREET, SUITE 900, EMERYVILLE, CA 94608
(209) 550-4610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/16/2014
Last updated
12/17/2015
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