NPI: 1952337495 · PHOENIX, AZ 85020 · Anesthesiology Physician · NPI assigned 06/25/2006
| Authorized Official | RONSMAN, BOBBIE (CREDENTIALING ADMINISTRATOR) |
| NPI Enumeration Date | 06/25/2006 |
Other providers sharing the same authorized official: RONSMAN, BOBBIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| DWIGHT S. CLARKE, MD, PLLC | PHOENIX | AZ | $815K |
| T I E EDQUID ANESTHESIA LLC | PHOENIX | AZ | $10K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 62 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00145 | 62 | 60 | $12K |