NPI: 1225355118 · OGDEN, UT 84401 · Internal Medicine Physician · NPI assigned 04/30/2010
| Authorized Official | DAVIS, WES (CEO) |
| NPI Enumeration Date | 04/30/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99455 | 15 | 14 | $0.00 |