NPI: 1902188568 · MUSKOGEE, OK 74403 · Dietary Manager · NPI assigned 09/09/2011
| Authorized Official | BRADFORD, TONYA (PRESIDENT CEO) |
| NPI Enumeration Date | 09/09/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 191 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92507 | 191 | 49 | $13K |