| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Medical Genetics |
| DEFINITION | A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| AREA OF SPECIALIZATION | Clinical Genetics (M.D.) |
| STATUS | Active |
| VA CODE | V181302 |
| X12 CODE | 207SG0201X |
| SPECIALTY CODE | D3 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251724 |
| EFFECTIVE DATE/TIME |
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