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NPI Code Detail

MEDICARE: DR. MICHELLE VO M.D.

MEDICARE: DR. MICHELLE VO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician7465103-1205UT

General Provider Information

NPI Number : 1053558825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE VO M.D.
Provider Business Mailing Address
First Line : 650 KOMAS DR STE 208
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-1241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 S 400 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-2905
Country : US
Telephone Number : 801-582-5534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2009
Last Update Date : 11/23/2021

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