Graduated: 2022
NPI: 1568111870
Practice Locations (2)
CEP AMERICA LLC
4300 E FLAMINGO AVE
NAMPA, ID 836873138
2082051000
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC
3325 POCAHONTAS RD
BAKER CITY, OR 978141464
5415242965
Source: CMS National Downloadable File, September 2026.