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Contact Information

CLINTON J PACE JR, MD
100 MERCY WAY STE 440
JOPLIN, MO64804-4524
 Phone: 417-781-4404
 Fax: 417-781-5845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CLINTON J PACE JR · (Male)

NPI # 1821234717
Status Active
Credentials MD
Entity Individual
Enumeration date 12/23/2008
Last updated 09/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2015004740
  • TX License # J1750
  • MO Medicaid 1821234717
  • TX Other 8CX885 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • MERCY HOSPITAL JOPLIN - (Acute Care)
    2817 ST JOHNS BLVD
    JOPLIN, MO 64804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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