Individual
CODY ALAN PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(636) 538-1944
Mailing address
1124 PRAIRIE DELL RD, UNION, MO 63084-4307
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2020030526
MO
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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