Individual
LEE WENDEL PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 N GILBERT RD, SUITE 2 PMB 188, MESA, AZ 85203-5136
(480) 868-9650
(480) 834-3606
Mailing address
1106 N GILBERT RD, SUITE 2 PMB 188, MESA, AZ 85203-5136
(480) 868-9650
(480) 834-3606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12301
AZ
208M00000X
Hospitalist Physician
12301
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212770
—
AZ
Enumeration date
10/05/2005
Last updated
03/28/2017
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