NPI: 1487735254 · BOISE, ID 83704 · Podiatrist · NPI assigned 10/18/2006
| Authorized Official | OWEN, DANA (OWNER/DOCTOR) |
| NPI Enumeration Date | 10/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $56.33 |
| 2019 | 13 | $123.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 29 | 26 | $180.31 |