Individual
ROSE A PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 TENNESSEE ST, PINE BLUFF, AR 71601-5801
(870) 543-2380
(870) 535-4716
Mailing address
PO BOX 1285, PINE BLUFF, AR 71613-1285
(870) 543-2380
(870) 535-4716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-6080
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034001
—
AR
Enumeration date
04/20/2006
Last updated
03/01/2011
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