MEDICARE: DR. CAROLYN BETH PACE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	22677	AZ

General Provider Information

NPI Number	:	1578594974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN BETH PACE M.D.

Provider Business Mailing Address
First Line	:	2034 E SOUTHERN AVE STE P
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-7519
Country	:	US
Telephone Number	:	480-456-6561
Fax Number	:	480-491-3500

Provider Business Practice Location Address
First Line	:	2034 E SOUTHERN AVE STE P
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-7519
Country	:	US
Telephone Number	:	480-456-6561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	12/04/2019

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