NPI: 1063629087 · LAKE HAVASU CITY, AZ 86403 · Specialist · NPI assigned 05/17/2007
| Authorized Official | RIESDORPH, CARRIE (OFFICE MANAGER) |
| NPI Enumeration Date | 05/17/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99243 | 16 | 15 | $1K |