Individual
ROBERT PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 KILLDEER LN, DAYTON, VA 22821-9745
(540) 879-2585
Mailing address
211 W BANK ST, BRIDGEWATER, VA 22812-1119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-050774
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005622921
—
VA
Enumeration date
02/27/2006
Last updated
08/11/2011
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