| California Emergency Physicians Medical Group, A Professional Corp. | |
|
740 Nw Hill Ave Roseburg OR 97471-1672 | |
| (541) 672-1631 | |
| Not Available |
| Full Name | California Emergency Physicians Medical Group, A Professional Corp. |
|---|---|
| Speciality | Internal Medicine |
| Location | 740 Nw Hill Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Theophile Koury (PRESIDENT) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Emergency Physicians Medical Group, A Professional Corp. 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (209) 491-7710 | California Emergency Physicians Medical Group, A Professional Corp. 740 Nw Hill Ave Roseburg OR 97471-1672 Ph: (541) 672-1631 |
| NPI Number | 1982076055 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982076055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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