NPI: 1225647480 · MILLCREEK, UT 84117 · General Practice Physician · NPI assigned 07/23/2020
| Authorized Official | COWAN, AMY (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 07/23/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 81 | $48.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 96127 | 81 | 40 | $48.05 |