| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Nuclear Medicine |
| DEFINITION | A nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine. |
| AREA OF SPECIALIZATION | In Vivo & In Vitro Nuclear Medicine |
| STATUS | Active |
| VA CODE | V181701 |
| X12 CODE | 207UN0903X |
| SPECIALTY CODE | 36 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251751 |
| EFFECTIVE DATE/TIME |
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