Individual
DR. ROBERT SCOTT PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 PROFESSIONAL LN UNIT 170, LONGMONT, CO 80501
(303) 776-0868
(303) 776-0848
Mailing address
1551 PROFESSIONAL LN UNIT 170, LONGMONT, CO 80501-6971
(303) 776-0868
(303) 776-0848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22742
CO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
22742
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227420
—
CO
Enumeration date
08/13/2006
Last updated
11/01/2019
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