| Cep America - Neurology Pc | |
|
470 Ne A St Madras OR 97741-1844 | |
| (541) 475-3882 | |
| Not Available |
| Full Name | Cep America - Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 470 Ne A St, Madras, Oregon |
| Authorized Official Name and Position | David Birdsall (C.O.O) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Neurology Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Cep America - Neurology Pc 470 Ne A St Madras OR 97741-1844 Ph: (541) 475-3882 |
| NPI Number | 1043789829 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043789829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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