Organization
PARAGON MEDICAL ALLIANCE LLC
Active
Other names
PARAGON MEDICAL PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MINMIN SONG (OWNER/EXECUTIVE OFFICER)
(775) 527-3621
Entity
Organization
Contact information
Practice address
3690 GRANT DR UNIT L2, RENO, NV 89509-5476
(775) 527-3621
Mailing address
3690 GRANT DR UNIT L2, RENO, NV 89509-5476
(775) 527-3621
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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