| Doctor Name: | MR. BRAD PACE |
| NPI Number: | 1275530156 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 294686-1206 |
| Business Practice Address: | 2084 N 1700 W Suite A Layton, UT - 84041 |
| Business Phone Number: | 8017738644 |
| Business Fax Number: | 8017739828 |
| Mailing Address: | 2086 N 1700 W, Suite C LAYTON |
| State: | UT |
| Postal Code: | 84041 |
| Phone Number: | 8017738644 |
| Fax Number: | 8019271591 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 294686-1206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |