Physicians (M.D. and D.O.) (1508)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physicians (M.D. and D.O.)
CLASSIFICATION Physician/Osteopath
STATUS Inactive
DATE INACTIVATED 2018-04-02 00:00:00
VA CODE V110000
X12 CODE 203B00000N
MASTER ENTRY FOR VUID YES
VUID 5254715
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:56
    STATUS:   INACTIVE