Provider Demographics
NPI:1023169372
Name:PACE, WILLIAM ROBY III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBY
Last Name:PACE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:700 E MANITOBA AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3885
Mailing Address - Country:US
Mailing Address - Phone:509-962-6500
Mailing Address - Fax:509-962-6011
Practice Address - Street 1:700 E MANITOBA AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3885
Practice Address - Country:US
Practice Address - Phone:509-962-6500
Practice Address - Fax:509-962-6011
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA14463207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1139203Medicaid
WAA07636Medicare UPIN
WA1139203Medicaid