NPI: 1457594699 · WAGONER, OK 74467 · General Practice Physician · NPI assigned 04/17/2009
| Authorized Official | HALEY, KELLY (OFFICE MANAGER) |
| NPI Enumeration Date | 04/17/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 59 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 59 | 55 | $4K |