NPI: 1497273106 · BRANSON, MO 65616 · Family Medicine Physician · NPI assigned 09/01/2017
| Authorized Official | ALLISON, DARREN (ADMINISTRATOR) |
| NPI Enumeration Date | 09/01/2017 |
Other providers sharing the same authorized official: ALLISON, DARREN
| Provider | City | State | Total Paid |
|---|---|---|---|
| BRANSON CLINIC, LLC | BRANSON | MO | $388K |
| BRANSON CLINIC, LLC | BRANSON | MO | $139K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 25 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 25 | 25 | $1K |