NPI: 1902301096 · GLENDALE, AZ 85306 · Adult Medicine Physician · NPI assigned 03/29/2018
| Authorized Official | OSTROM, JODI (OWNER) |
| NPI Enumeration Date | 03/29/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 52 | $888.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 52 | 31 | $888.55 |