NPI: 1467089599 · CONWAY, AR 72034 · Ambulatory Surgical Clinic/Center · NPI assigned 03/26/2020
| Authorized Official | WADDELL, BETH (ADMINISTATOR) |
| NPI Enumeration Date | 03/26/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 86 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 64493 | 86 | 28 | $12K |