Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 9823064-1205 | UT |
N | 111NI0900X | Internist | 9823064-1205 | UT |
Y | 207RN0300X | Nephrologist | 9823064-1205 | UT |
NPI | 1023453768 |
---|---|
Provider Name | Pace Romney |
First Address | Salt Lake City, UT 84132-2412 |
Second Address | Salt Lake City, UT 84132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2013 |
Last Update Date | 16/11/2021 |