NPI: 1871596114 · FLAGSTAFF, AZ 86001 · Ambulatory Surgical Clinic/Center · NPI assigned 05/31/2005
| Authorized Official | BRANDON, NORMA (ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 05/31/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 74 | $17K |
| 2019 | 86 | $24K |
| 2020 | 59 | $15K |