Pace, Lee Wendel

Pace, Lee Wendel is an sole proprietor health care provider with primary practice located at 1106 N Gilbert Rd Suite 2 Pmb 188, Mesa AZ 85203-5136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pace, Lee Wendel can be contacted via phone (480) 868-9650.

Contact Information

Primary practice address
1106 N Gilbert Rd Suite 2 Pmb 188 Mesa AZ 85203-5136
Phone: (480) 868-9650
Fax: (480) 834-3606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12301 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12301 Arizona

Profile Details

NPI number 1790772622
LBN Legal business name Pace, Lee Wendel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Mar 28th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790772622 NPPES
Arizona MEDICAID 212770

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