Healthcare Provider Details

I. General information

NPI: 1699728881
Provider Name (Legal Business Name): STEVEN ALBERT PACE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MLK JR. WAY TACOMA EMERGENCY CARE PHYSICIANS
TACOMA WA
98405
US

IV. Provider business mailing address

40 BONNEY ST
STEILACOOM WA
98388-1502
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-8327
  • Fax:
Mailing address:
  • Phone: 253-588-2425
  • Fax: 253-588-8218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number17617
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: