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Cep America - Neurology PC

Psychiatry & Neurology, Neurology in Terre Haute, IN. Organization (NPI-2).

NPI number1174132708
StatusActive
Last updated in NPPESJul 29, 2020

Details

NPI
1174132708
Entity type
Organization (NPI-2)
Legal business name
Cep America - Neurology PC
Organization subpart
No
Enumeration date
Jul 29, 2020
Certification date
Jul 29, 2020
Last updated
Jul 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

1606 N 7th St
Terre Haute, IN 47804-2706

Phone 812-238-7000

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Phone 510-350-2680

Authorized official

David Birdsall
Vice President
5103502680

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