# PACE MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417629635
- **Authorized official:** RUSSELL CANTRELL MD (SOLE MEMBER)
- **Authorized official phone:** (314) 451-2225

## Contact information

- **Practice address:** 343 S KIRKWOOD RD STE 205, KIRKWOOD, MO 63122-6195
- **Practice address phone:** (314) 451-2225
- **Mailing address:** 343 S KIRKWOOD RD STE 205, KIRKWOOD, MO 63122-6195
- **Mailing address phone:** (314) 451-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2021
- **Last updated:** 10/12/2021