Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY ALAN PACE, ATC
Active Sole ProprietorCODY ALAN PACE, ATC is a Sports Medicine (EM) healthcare provider located in SAINT CHARLES, Missouri. NPI 1417661711 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · SAINT CHARLES, MO
Registration Details
- NPI Number
- 1417661711
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2023 (3.624498968962 yrs)
- Last Updated
- Jan 11, 2023
- License
-
2020030526 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 S KINGSHIGHWAY STSAINT CHARLES, MO, 633011693Browse MO providers · Browse ZIP 63301
- Phone
- 6365381944
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.