CODY ALAN PACE

SAINT CHARLES, MO
NPI1417661711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: MO  2020030526)
Enumeration Date2023-01-11
Last Update Date2023-01-11
Business Address
CODY ALAN PACE ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-538-1944
Mailing Address
CODY ALAN PACE ATC
1124 PRAIRIE DELL RD
UNION, MO 63084-4307
Phone number:
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