Individual
DR. PATRICE DIANE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3300 CHANDLER RD STE 107, MUSKOGEE, OK 74403-4909
(800) 993-8244
(404) 494-7537
Mailing address
7912 E 31ST CT, STE 220, TULSA, OK 74145-1315
(918) 743-8200
(918) 743-8609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4567
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
TAXONOMY CODE
OK
Enumeration date
02/05/2007
Last updated
06/05/2020
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