NPI: 1568739605 · FLAGSTAFF, AZ 86001 · Medical Specialty Clinic/Center · NPI assigned 11/17/2011
| Authorized Official | VAN DYK, HENRY (ACTING DIRECTOR) |
| NPI Enumeration Date | 11/17/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 79 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 79 | 77 | $1K |