NPI: 1407146475 · PHOENIX, AZ 85016 · Hospitalist Physician · NPI assigned 04/12/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $369.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15 | 15 | $369.91 |