NPI: 1275215972 · COLLEGE PLACE, WA 99324 · Internal Medicine Physician · NPI assigned 08/02/2023
| Authorized Official | SELEVERSTOV, OLEKSANDR (OWNER) |
| NPI Enumeration Date | 08/02/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 97 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 97 | 72 | $2K |