NPI: 1801099585 · GUNNISON, CO 81230 · Pediatrics Physician · NPI assigned 06/08/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 16 | $624.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16 | 16 | $624.90 |