Basic Information
Provider Information
NPI: 1003005257
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PACE
FirstName: STANLEY
MiddleName: CARTER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 659 BOULEVARD ST
Address2:  
City: DOVER
State: OH
PostalCode: 446222026
CountryCode: US
TelephoneNumber: 3303433311
FaxNumber: 3303640955
Practice Location
Address1: 7580 AUBURN RD
Address2: #302, C/O DRS. HILL AND CHAPNICK, INC
City: CONCORD TWP
State: OH
PostalCode: 440779615
CountryCode: US
TelephoneNumber: 4403544208
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/23/2007
LastUpdateDate: 01/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZC0500X094437OHN Allopathic & Osteopathic PhysiciansPathologyCytopathology
207ZP0102X094437OHY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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