Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
39350 CIVIC CENTER DR, STE100, FREMONT, CA 94538-2384
(510) 456-4600
Mailing address
PO BOX 45741, SAN FRANCISCO, CA 94145-0741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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