NPI: 1457110298 · BLACKFOOT, ID 83221 · Dermatology Physician · NPI assigned 03/14/2024
| Authorized Official | WRAY, ADAM (OWNER) |
| NPI Enumeration Date | 03/14/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 25 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25 | 25 | $1K |