NPI: 1891214896 · CLIVE, IA 50325 · Dermatology Physician · NPI assigned 09/12/2017
| Authorized Official | DUCHARME, ALEX (MANAGER) |
| NPI Enumeration Date | 09/12/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $569.59 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 13 | $569.59 |