NPI: 1447790985 · PHOENIX, AZ 85016 · General Practice Physician · NPI assigned 03/02/2017
| Authorized Official | OWENS, OWEN (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 03/02/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 66 | $849.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 66 | 58 | $849.25 |