Cep America - Neurology Pc | |
384 Se Combs Flat Rd Prineville OR 97754-2562 | |
(541) 447-6254 | |
Not Available |
Full Name | Cep America - Neurology Pc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 384 Se Combs Flat Rd, Prineville, 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 |
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Cep America - Neurology Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Cep America - Neurology Pc 384 Se Combs Flat Rd Prineville OR 97754-2562 Ph: (541) 447-6254 |
NPI Number | 1205305083 |
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Provider Enumeration Date | 11/21/2018 |
Last Update Date | 01/02/2020 |
Certification Date | 01/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205305083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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