NPI: 1124161716 · FAIRBANKS, AK 99701 · Primary Care Clinic/Center · NPI assigned 02/14/2007
| Authorized Official | IVES, DONALD (MANAGER) |
| NPI Enumeration Date | 02/14/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 93970 | 18 | 13 | $3K |