Individual
DR. RANDALL WELLS PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
173 N 400 W STE C11, OREM, UT 84057-1909
(801) 802-7373
(801) 802-7733
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8268289-8905
UT
207Q00000X
Family Medicine Physician
MR-1067
ID
Other
Enumeration date
06/23/2009
Last updated
11/27/2023
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