NPI: 1215915459 · MORRILTON, AR 72110 · Family Medicine Physician · NPI assigned 01/06/2006
| Authorized Official | HOGAN, TIFFANY (PRACTICE MANAGER) |
| NPI Enumeration Date | 01/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 16 | $31.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 16 | 16 | $31.90 |