NPI: 1679730493 · LAKESIDE, AZ 85929 · Primary Care Clinic/Center · NPI assigned 05/20/2008
| Authorized Official | LARUE, JENNIFER (BILLING) |
| NPI Enumeration Date | 05/20/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15 | 15 | $0.00 |