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PROVIDER PROFILE · NPI 1013519008

NPI 1013519008

CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 271314
Hospital
CCN 271318
Hospital
CCN 271319
Hospital
CCN 271335
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$151
Payment records
2
By payment type
Food and Beverage$151
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.