NPI: 1902068265 · TULSA, OK 74133 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 06/27/2008
| Authorized Official | VAN BOVEN, MELVIN (PRESIDENT) |
| NPI Enumeration Date | 06/27/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 82 | $4K |
| 2020 | 54 | $3K |
| 2021 | 26 | $567.80 |