Organization
PARAGON BILLING LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE KIBUKAMUSOKE (OWNER)
(602) 359-1706
Entity
Organization
Contact information
Practice address
8805 W VAN BUREN ST UNIT 651, TOLLESON, AZ 85353-5127
(602) 359-1706
Mailing address
8805 W VAN BUREN ST UNIT 651, TOLLESON, AZ 85353-5127
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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