All Medicaid billing entities listing FRASER, SIOBAUGHN (AUTHORIZED REPRESENTATIVE) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $52K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PH OPS OF LAS ESTANCIAS LLC | ALBUQUERQUE, NM | Skilled Nursing Facility | $52K |