Search › Virginia › 207RC0001X
Vivak Master, M.D
NPI 1386900397 · on the registry since 2012
Practice
- Address
- 4700 Puddledock Rd Ste 400
Prince George, VA 23875 - Phone
- (804) 458-1740
- Fax
- (804) 541-1846
- Organisation at this address
- Prime Care Family Practice, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 207RC0001X
207RC0001X
- Also registered as
- 207RC0000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia