NPI: 1043994890 · EAGLE, ID 83616 · Certified Registered Nurse Anesthetist · NPI assigned 06/12/2023
| Authorized Official | SCOPEL, JAYSON (PRESIDENT/OWNER) |
| NPI Enumeration Date | 06/12/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 42 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00104 | 42 | 12 | $3K |