NPI: 1477621761 · DAVENPORT, IA 52807 · Dermatology Physician · NPI assigned 12/03/2006
| Authorized Official | BOVENMYER, JOHN (PRESIDENT) |
| NPI Enumeration Date | 12/03/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $367.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99201 | 12 | 12 | $367.10 |