Individual
JOHN CHARLES MACE
Active
Individual
JOHN CHARLES MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
118061
MO
207T00000X
Neurological Surgery Physician
E3602
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156395001
CIGNA HEALTHCARE
MO
01
—
0215049
DEPARTMENT OF LABOR WA
WA
01
—
04040017000
QUAL CHOICE
MO
01
—
0602002
UNITED HEALTHCARE
MO
01
—
119340
BLUE CROSS/CHOICE
MO
05
—
139629001
—
AR
01
—
18942
COX HEALTH PLANS
MO
05
—
203985700
—
MO
01
—
412307
HEALTHLINK
MO
01
—
4188130001
CIGNA MEDICARE
MO
01
—
5M988
ARKANSAS BC/BS
AR
01
—
7623
COX HEALTH PLANS UPI
MO
01
—
G93208
USPS (W/C)
MO
Enumeration date
05/22/2006
Last updated
09/30/2021
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