NPI: 1033424429 · MERIDIAN, ID 83646 · Primary Care Clinic/Center · NPI assigned 08/10/2010
| Authorized Official | BORRON, BROOKNEY (OWNER) |
| NPI Enumeration Date | 08/10/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $655.71 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12 | 12 | $655.71 |