NPI: 1629054663 · ROCKPORT, ME 04856 · Anesthesiology Physician · NPI assigned 12/21/2005
| Authorized Official | MADDOX, DAVID (PRESIDENT) |
| NPI Enumeration Date | 12/21/2005 |
Other providers sharing the same authorized official: MADDOX, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| ABA SUPPORT SYSTEMS | WARRENTON | VA | $2.01M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 19 | $68.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00731 | 19 | 12 | $68.10 |