MEDICARE: EDWARD HOANG NAM VO DO

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
1	207Q00000X	Family Medicine Physician	5101023638	MI
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	008629	AZ

General Provider Information

NPI Number	:	1689196891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD HOANG NAM VO DO

Provider Business Mailing Address
First Line	:	4200 E CAMELBACK RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2718
Country	:	US
Telephone Number	:	602-229-2297
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 E CAMELBACK RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2718
Country	:	US
Telephone Number	:	602-229-2297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	03/14/2024

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Directions to “ EDWARD HOANG NAM VO DO” Practice Location

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