NPI: 1700069952 · SIERRA VISTA, AZ 85650 · Urology Physician · NPI assigned 12/11/2007
| Authorized Official | WOLK, ANN (OFFICE MANAGER) |
| NPI Enumeration Date | 12/11/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17 | 12 | $1K |