Individual
ALEX CYRIL VACLAVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7611 FOREST AVE, SUITE 200, RICHMOND, VA 23229-4946
(804) 288-4084
(804) 288-3567
Mailing address
7130 GLEN FOREST DR, SUITE 101, RICHMOND, VA 23226-3754
(804) 288-4084
(804) 282-8678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD040746
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487800272
—
VA
Enumeration date
08/12/2008
Last updated
04/20/2018
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