| Doctor Name: | DR. THANH DUY VO |
| NPI Number: | 1437135571 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | R2C82 |
| Business Practice Address: | 486 N Church St Sullivan, MO - 63080 |
| Business Phone Number: | 5734685858 |
| Business Fax Number: | 5734685995 |
| Mailing Address: | 486 N Church St, SULLIVAN |
| State: | MO |
| Postal Code: | 63080 |
| Phone Number: | 5734685858 |
| Fax Number: | 5734685995 |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 04/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | R2C82 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |