NPI: 1295103364 · MOUNTAIN HOME, AR 72653 · Emergency Medicine Physician · NPI assigned 09/08/2015
| Authorized Official | GODFREY, MICHELLE (PRESIDENT) |
| NPI Enumeration Date | 09/08/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 66 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 66 | 31 | $2K |