NPI: 1073976155 · GILLETTE, WY 82716 · Audiologist · NPI assigned 04/05/2016
| Authorized Official | SHAHAN, MATT (CEO) |
| NPI Enumeration Date | 04/05/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $129.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92567 | 13 | 12 | $129.92 |