Individual
JEFFREY PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
201 MEMORIAL HWY, DALLAS, PA 18612-1240
(570) 675-8151
(570) 675-7524
Mailing address
201 MEMORIAL HWY, DALLAS, PA 18612-1240
(570) 675-8151
(570) 675-7524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT005230L
PA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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