NPI: 1003079187 · WOOSTER, OH 44691 · Ambulatory Surgical Clinic/Center · NPI assigned 07/08/2008
| Authorized Official | CAILLET, VICTORIA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/08/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $544.34 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 62323 | 14 | 12 | $544.34 |