California Emergency Physicians Medical Group, a Professional Corp.

NPI #1982076055 in Roseburg, Oregon

Provider Information

NPI Number: 1982076055
Entity Type: Organization
Organization Name: California Emergency Physicians Medical Group, a Professional Corp.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 28, 2015
Last Updated: Jan 30, 2020

Practice Location

Address: 740 NW HILL AVE
City: Roseburg
State: Oregon
ZIP Code: 97471-1672
Phone: (541) 672-1631

Authorized Official

Name: THEOPHILE KOURY, M.D
Title: PRESIDENT
Phone: (510) 350-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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