NPI: 1871522532 · MIAMI, OK 74354 · Clinic/Center · NPI assigned 07/02/2006
| Authorized Official | OLSEN, RACHEL (ADMINISTRATIVE OFFICER) |
| NPI Enumeration Date | 07/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17 | 12 | $6K |