NPI: 1528383924 · LAKE TAPPS, WA 98391 · Anesthesiology Physician · NPI assigned 03/29/2010
| Authorized Official | MICHEL, MARLON (PRESIDENT) |
| NPI Enumeration Date | 03/29/2010 |
Other providers sharing the same authorized official: MICHEL, MARLON
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOUTHERN IDAHO SURGERY CENTER PLLC | MERIDIAN | ID | $5.30M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 194 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 194 | 194 | $28K |