| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Plastic Surgery |
| DEFINITION | A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| AREA OF SPECIALIZATION | Surgery of the Hand |
| STATUS | Active |
| VA CODE | V182702 |
| X12 CODE | 2082S0105X |
| SPECIALTY CODE | 40 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251943 |
| EFFECTIVE DATE/TIME |
|