NPI: 1356918916 · MERIDIAN, ID 83642 · Ambulatory Surgical Clinic/Center · NPI assigned 06/10/2021
| Authorized Official | MCCALLISTER, SEAN (ADMINISTRATOR) |
| NPI Enumeration Date | 06/10/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 14 | 14 | $3K |