NPI: 1003800798 · MIDWEST CITY, OK 73110 · Ambulatory Surgical Clinic/Center · NPI assigned 09/08/2005
| Authorized Official | MILLS, SHERRY (ADMINISTRATOR) |
| NPI Enumeration Date | 09/08/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 110 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 110 | 110 | $40K |