NPI: 1609968056 · IDAHO FALLS, ID 83404 · Surgery Physician · NPI assigned 09/29/2006
| Authorized Official | BAIRD, ERIC (PRESIDENT) |
| NPI Enumeration Date | 09/29/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13 | 13 | $1K |