NPI: 1538629647 · SALT LAKE CITY, UT 84105 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/24/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13 | 13 | $0.00 |