IndividualActive
Caleb Pace, DPM
NPI 1124548086 · Foot & Ankle Surgery Podiatrist · Nevada, MO
Provider details
- NPI number
- 1124548086
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 12-00465 (KS)
Mailing address
208 N Bonda Way
Nixa, MO 65714-7940
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2023-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.