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Individual

PACE ROMNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1055 N 300 W STE 210, PROVO, UT 84604-3374
(801) 357-0280
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-0280

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9823064-1205
UT
207RN0300X
Nephrology Physician
Primary
9823064-1205
UT

Other

Enumeration date
05/08/2013
Last updated
05/22/2025
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