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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOSE MAST

Active

MOSE MAST is a Contractor healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1588865612 is currently active in the NPPES registry. Verify at CMS.

Contractor · VIRGINIA BEACH, VA

Registration Details

NPI Number
1588865612
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2007 (19.178572897168 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
506 VIKING DR
VIRGINIA BEACH, VA, 234527316
Browse VA providers · Browse ZIP 23452
Phone
7573040686
Fax
7573401393
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in VIRGINIA BEACH, VA

Name Credential NPI
MR. WILLIAM ALVIN SIEVERT 1992857791
MS. REBECCA LYNN DAHLKA CSA 1417222415
MRS. STACY DURFEE 1154735868
MS. JENNIFER GREEN LM, CPM 1174921357
JOHNNIE WYATTE REID 1538514328
JOELENE GRANDY 1336679349
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.