Physicians (M.D. and D.O.) (161) PERSON CLASS (8932.1)

Name	Value
PROVIDER TYPE	Physicians (M.D. and D.O.)
CLASSIFICATION	Surgery, Orthopaedic, Sports Medicine
STATUS	Inactive
DATE INACTIVATED	1998-10-20 00:00:00
VA CODE	V117200
reserved	P155
INDIVIDUAL/NON	INDIVIDUAL
MASTER ENTRY FOR VUID	YES
VUID	5254097
EFFECTIVE DATE/TIME	2018-04-02 15:35:25 STATUS: INACTIVE