NPI: 1285218750 · PHOENIX, AZ 85027 · Multi-Specialty Clinic/Center · NPI assigned 05/10/2021
| Authorized Official | FERRULLI, SHELLY (OFFICE MANAGER) |
| NPI Enumeration Date | 05/10/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $278.51 |
| 2024 | 12 | $199.01 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 24 | 24 | $477.52 |