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PROVIDER PROFILE · NPI 1306342555

NPI 1306342555

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 160146
Hospital
CCN 160153
Hospital
CCN 161368
Hospital
CCN 161375
Hospital
CCN 430089
Hospital
QUALITY · MIPS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$208
Payment records
2
By payment type
Food and Beverage$208