Individual
DR. THANH DUY VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
486 N CHURCH ST, SULLIVAN, MO 63080
(573) 468-5858
(573) 468-5995
Mailing address
486 N CHURCH ST, SULLIVAN, MO 63080
(573) 468-5858
(573) 468-5995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R2C82
MO
208D00000X
General Practice Physician
R2C82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201722741
—
MO
Enumeration date
12/20/2005
Last updated
04/30/2010
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