| Paragond Llc | |
|
3715 E Overland Rd Ste 120 Meridian ID 83642-8301 | |
| (208) 789-0220 | |
| (208) 789-0047 |
| Full Name | Paragond Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3715 E Overland Rd Ste 120, Meridian, Idaho |
| Authorized Official Name and Position | Megan Lane (OWNER/PROVIDER) |
| Authorized Official Contact | 2087890220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paragond Llc 3715 E Overland Rd Ste 120 Meridian ID 83642-8301 Ph: (087) 890-2202 | Paragond Llc 3715 E Overland Rd Ste 120 Meridian ID 83642-8301 Ph: (208) 789-0220 |
| NPI Number | 1093446718 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093446718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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