Michael Jay Pace JR. D.O.

NPI 1437377538 - Family Medicine - 207Q00000X

NPI Details
NPI 1437377538
Gender Male
Enumeration Date 04/23/2007
Last Updated 10/14/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1310 S MAIN ST
GROVE OK, 74344-5304, US
Phone (918) 786-2243
Fax (918) 787-3643
Business Location
1310 S MAIN ST
GROVE OK, 74344-5304, US
Phone (918) 786-2243
Fax (918) 787-3643
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 4490
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According to our database, Dr. Michael Jay Pace JR. D.O. NPI is 1437377538, taxonomy code is 207Q00000X and license number is 4490, license state is located at Oklahoma. Michael Jay Pace JR. D.O. physically located at 1310 S Main St, Grove OK, 74344-5304. NPI Number Michael Jay Pace JR. D.O. has the Individual type.

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1437377538 NPI number is provided on an as is basis without warranty of any kind. 1437377538 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Jay Pace JR. D.O. are for informational purposes only.