Physicians (M.D. and D.O.) (97)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Physicians (M.D. and D.O.)
CLASSIFICATION Physician/Osteopath
AREA OF SPECIALIZATION Adolescent Medicine: Pediatrics
STATUS Inactive
DATE INACTIVATED 2005-11-15 00:00:00
VA CODE V114201
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5253857
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:33
    STATUS:   INACTIVE