Physicians (M.D. and D.O.) (24)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physicians (M.D. and D.O.)
CLASSIFICATION Intern, Allopathic
STATUS Inactive
DATE INACTIVATED 2005-05-03 00:00:00
VA CODE V111300
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253602
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:09
    STATUS:   INACTIVE