Physicians (M.D. and D.O.) (137)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physicians (M.D. and D.O.)
CLASSIFICATION Radiology
AREA OF SPECIALIZATION Pediatric Radiology
STATUS Inactive
DATE INACTIVATED 1998-10-20 00:00:00
VA CODE V115303
reserved P95
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5254007
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:12
    STATUS:   INACTIVE