Individual
EMILY ANN VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 S WHEELING AVE STE 304, TULSA, OK 74104-5632
(918) 794-7337
Mailing address
1919 S WHEELING AVE STE 304, TULSA, OK 74104-5632
(918) 794-7337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2375
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100732910-A
GROUP MEDICAID/SOONERCARE
OK
01
—
100732910-G
GROUP MEDICAID/SOONERCARE
OK
01
—
73-1042545
GROUP COMMUNITY CARE OF OKLAHOMA
OK
01
—
731042545001
GROUP TRICARE
OK
Enumeration date
01/28/2014
Last updated
09/01/2023
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