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