Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A54532 | CA |
NPI | 1326096785 |
---|---|
Provider Name | William Michael Pace |
First Address | Santa Barbara, CA 93109-2019 |
Second Address | Santa Barbara, CA 93105-4311 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 20/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G18546 | (02) |