Individual
CHARLES F PACE
Active
Individual
CHARLES F PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2000-259
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201048060
PRESBYTERIAN HEALTH PLAN
NM
05
—
61727369
—
NM
01
—
NM009L89
BCBS
NM
Enumeration date
09/28/2006
Last updated
08/24/2023
Update your record
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