NPI: 1093427700 · INDIANAPOLIS, IN 46237 · Clinic/Center · NPI assigned 12/14/2022
| Authorized Official | WILES, CALEB (PRACTICE MANAGER) |
| NPI Enumeration Date | 12/14/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 31 | $0.00 |
| 2023 | 154 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 15271 | 185 | 52 | $0.00 |