NPI: 1114498698 · SAINT JOSEPH, MO 64501 · Addiction Medicine (Family Medicine) Physician · NPI assigned 12/10/2018
| Authorized Official | THALASINOS, CAROLINE (OFFICE MANAGER) |
| NPI Enumeration Date | 12/10/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 60 | $2K |
| 2023 | 115 | $2K |