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Cep America LLC

Emergency Medicine in Lake St Louis, MO. Organization (NPI-2).

NPI number1982259305
StatusActive
Last updated in NPPESApr 1, 2020

Details

NPI
1982259305
Entity type
Organization (NPI-2)
Legal business name
Cep America LLC
Organization subpart
No
Enumeration date
Aug 2, 2019
Certification date
Apr 1, 2020
Last updated
Apr 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

100 Medical Plz
Lake St Louis, MO 63367-1366

Phone 636-625-5200

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Phone 510-350-2638

Authorized official

David Birdsall
C.O.O
5103502600

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