NPI: 1588726947 · CAMP VERDE, AZ 86322 · Pediatrics Physician · NPI assigned 12/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $366.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17 | 17 | $366.00 |