Organization
CALIFORNIA EMERGENCY PHYSC MED GRP
Active
Other names
CEPAmerica
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPIRO M.D (MD/VPO)
(510) 350-2770
Entity
Organization
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-5220
(903) 614-5090
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1826
(510) 350-2664
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166614002
—
AR
05
—
190656201
—
TX
05
—
200130910A
—
OK
Enumeration date
08/01/2007
Last updated
04/24/2008
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