NPI: 1083814883 · PUEBLO, CO 81004 · Podiatric Clinic/Center · NPI assigned 07/19/2007
| Authorized Official | DIPERSIO, JENNIFER (OFFICE MANAGER) |
| NPI Enumeration Date | 07/19/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $333.54 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11720 | 28 | 24 | $333.54 |