| Cep America - Neurology Pc | |
|
1000 Greenley Rd Sonora CA 95370-5200 | |
| (209) 536-5000 | |
| Not Available |
| Full Name | Cep America - Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1000 Greenley Rd, Sonora, California |
| Authorized Official Name and Position | David Birdsall (VP & SECRETARY) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Neurology Pc 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 851-7501 | Cep America - Neurology Pc 1000 Greenley Rd Sonora CA 95370-5200 Ph: (209) 536-5000 |
| NPI Number | 1609573880 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609573880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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