NPI: 1184017741 · SAN ANTONIO, TX 78229 · Certified Registered Nurse Anesthetist · NPI assigned 03/06/2015
| Authorized Official | SHAFFER, RICHARD (MANAGING PARTNER) |
| NPI Enumeration Date | 03/06/2015 |
Other providers sharing the same authorized official: SHAFFER, RICHARD
| Provider | City | State | Total Paid |
|---|---|---|---|
| COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY INC | CENTREVILLE | MI | $2.20M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 21 | $68.09 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00731 | 21 | 13 | $68.09 |