NPI: 1952654881 · IDAHO FALLS, ID 83404 · Podiatrist · NPI assigned 10/16/2012
| Authorized Official | JAMES, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 10/16/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20 | $267.13 |
| 2020 | 15 | $272.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 73630 | 35 | 24 | $539.92 |