Individual
MR. BRAD PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2084 N 1700 W, SUITE A, LAYTON, UT 84041
(801) 773-8644
(801) 773-9828
Mailing address
2086 N 1700 W, SUITE C, LAYTON, UT 84041
(801) 773-8644
(801) 927-1591
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
294686-1206
UT
363AM0700X
Medical Physician Assistant
Primary
962946861206
UT
Other
Enumeration date
07/07/2005
Last updated
09/11/2012
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