NPI: 1780447094 · STILLWATER, OK 74074 · Clinic/Center · NPI assigned 01/31/2024
| Authorized Official | FRECH, RICH (ADMINISTRATOR) |
| NPI Enumeration Date | 01/31/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $234.45 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92134 | 13 | 13 | $234.45 |