Individual
MELINDA T PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 278-8800
Mailing address
2900 16TH ST, BEDFORD, IN 47421-3510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002531A
IN
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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