NPI: 1871893743 · CAPE GIRARDEAU, MO 63703 · General Practice Physician · NPI assigned 10/26/2010
| Authorized Official | GALLAHER, STACEY (BILLING) |
| NPI Enumeration Date | 10/26/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 41 | $390.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80305 | 41 | 39 | $390.38 |