Podiatric Medicine & Surgery Service Providers (187)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Podiatric Medicine & Surgery Service Providers
CLASSIFICATION Podiatrist
AREA OF SPECIALIZATION General Practice
STATUS Inactive
DATE INACTIVATED 2009-04-22 00:00:00
VA CODE V120206
X12 CODE 213EG0000X
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5255003
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:54
    STATUS:   INACTIVE