Allopathic & Osteopathic Physicians (894)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Allopathic & Osteopathic Physicians
CLASSIFICATION Radiology
AREA OF SPECIALIZATION Therapeutic Radiology
STATUS Active
VA CODE V183009
X12 CODE 2085R0203X
SPECIALTY CODE 30
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252078
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:45
    STATUS:   ACTIVE