Organization
CEP AMERICA LLC
Active
Organization
CEP AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization
Contact information
Practice address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 276-5121
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 851-7501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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