Allopathic & Osteopathic Physicians (767)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Allopathic & Osteopathic Physicians
CLASSIFICATION Family Medicine
DEFINITION
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
AREA OF SPECIALIZATION Adolescent Medicine
STATUS Active
VA CODE V180702
X12 CODE 207QA0000X
SPECIALTY CODE 08
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5251601
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:30
    STATUS:   ACTIVE