Individual provider · NPI-1
Dr. Ti Robert-Vernon Pence, D.C.
Chiropractor · Stanford, CA
NPI number1194804682
StatusActive
Last updated in NPPESJan 26, 2023
Details
- NPI
- 1194804682
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ti Robert-Vernon Pence
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2006
- Certification date
- Jan 26, 2023
- Last updated
- Jan 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 30614 | CA | Yes |
| 111N00000X | Chiropractor | DC-30614 | CA | |
| 111N00000X | Chiropractor | 5905 | CO | |
| 111NS0005X | Chiropractor, Sports Physician | 30614 | CA |
Other names
- Robert Vernon Pence (Former Name)
Practice location
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Mailing address
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Other practice locations
409 Alberto Way Ste 3
Los Gatos, CA 95032-5407
Los Gatos, CA 95032-5407
Phone 408-827-1422
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