Podiatric Medicine & Surgery Service Providers (192) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Podiatric Medicine & Surgery Service Providers
CLASSIFICATION
Podiatrist
AREA OF SPECIALIZATION
Radiology
STATUS
Active
VA CODE
V120211
X12 CODE
213ER0200X
SPECIALTY CODE
48
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5255012
EFFECTIVE DATE/TIME
2018-04-02 15:35:04
STATUS: ACTIVE