| Doctor Name: | DAVID M PENCE |
| NPI Number: | 1124173919 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 29635 |
| Business Practice Address: | 1900 Centracare Circle St Cloud, MN - 56303 |
| Business Phone Number: | 3202294901 |
| Business Fax Number: | 3202295160 |
| Mailing Address: | 1900 Centracare Circle, ST CLOUD |
| State: | MN |
| Postal Code: | 56303 |
| Phone Number: | 3202294901 |
| Fax Number: | 3202295160 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 29635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |