NPI: 1881989895 · KETCHUM, ID 83340 · Specialist · NPI assigned 06/17/2011
| Authorized Official | MCINNES, ALAN (PRESIDENT) |
| NPI Enumeration Date | 06/17/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $68.97 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92285 | 12 | 12 | $68.97 |