Physicians (Other Roles) (1395)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physicians (Other Roles)
CLASSIFICATION Physician/Osteopath (Other Roles)
STATUS Inactive
DATE INACTIVATED 2018-04-02 00:00:00
VA CODE V160100
X12 CODE 353B00000X
MASTER ENTRY FOR VUID YES
VUID 5254988
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:46
    STATUS:   INACTIVE