Individual
DR. VICTOR M PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 AUBERT AVE, SAINT LOUIS, MO 63113-1918
(314) 449-9726
(314) 449-9641
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-2240
(417) 269-2245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
044301
GA
207Q00000X
Family Medicine Physician
Primary
118290
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122230
BLUECROSS OF MO
MO
05
—
204015515
—
MO
Enumeration date
09/20/2006
Last updated
11/15/2024
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