Individual
MARCUS PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
270 W LAKE MEAD PKWY, HENDERSON, NV 89015-7093
(702) 677-3720
Mailing address
PO BOX 15645, HENDERSON, NV 89015
(702) 677-3720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1654
NV
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083017081
—
NV
Enumeration date
10/03/2014
Last updated
05/03/2016
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