NPI: 1942334057 · PANAMA CITY, FL 32405 · Certified Registered Nurse Anesthetist · NPI assigned 03/14/2007
| Authorized Official | PAYNE, DARREN (VICE PRESIDENT) |
| NPI Enumeration Date | 03/14/2007 |
Other providers sharing the same authorized official: PAYNE, DARREN
| Provider | City | State | Total Paid |
|---|---|---|---|
| AGOURA-LOS ROBLES PODIATRY CENTERS | THOUSAND OAKS | CA | $20K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $67.59 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 13 | 12 | $67.59 |