NPI: 1083612253 · SAINT LOUIS, MO 63126 · General Practice Physician · NPI assigned 07/12/2005
| Authorized Official | FOSTER, JEAN (PRESIDENT) |
| NPI Enumeration Date | 07/12/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $245.61 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99304 | 13 | 12 | $245.61 |