Organization
PARAGON REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE CHAFFEE DC (OWNER)
(330) 345-4440
Entity
Organization
Contact information
Practice address
242 E MILLTOWN RD, WOOSTER, OH 44691-1246
(330) 345-4440
(330) 345-9335
Mailing address
242 E MILLTOWN RD, WOOSTER, OH 44691-1246
(330) 345-4440
(330) 345-9335
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201917200524
STATE CHARTER
OH
Enumeration date
07/30/2019
Last updated
07/30/2019
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