| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Radiology |
| DEFINITION | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| AREA OF SPECIALIZATION | Diagnostic Radiology |
| STATUS | Inactive |
| DATE INACTIVATED | 2018-04-02 00:00:00 |
| VA CODE | V183001 |
| X12 CODE | 2085R0202X |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252069 |
| EFFECTIVE DATE/TIME |
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