Individual
DR. WILLIAM ROBERT PACE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 MONTROSE AVE, SUITE D, LAFAYETTE, LA 70503-3852
(337) 981-9316
(337) 981-8303
Mailing address
107 MONTROSE AVE, SUITE D, LAFAYETTE, LA 70503-3852
(337) 981-9316
(337) 981-8303
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
08288R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08288R
STATE LICENSE NUMBER
LA
Enumeration date
04/13/2006
Last updated
07/08/2007
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