Provider Demographics
NPI:1871554006
Name:VO, DUC CONG (MD)
Entity type:Individual
Prefix:DR
First Name:DUC
Middle Name:CONG
Last Name:VO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12938
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-2938
Mailing Address - Country:US
Mailing Address - Phone:602-538-4010
Mailing Address - Fax:480-767-0963
Practice Address - Street 1:8952 E DESERT COVE DR
Practice Address - Street 2:SUITE #110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6254
Practice Address - Country:US
Practice Address - Phone:480-767-3169
Practice Address - Fax:480-767-0963
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31825207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ793861Medicaid
AZZ112809Medicare PIN
AZ793861Medicaid
AZZ112808Medicare PIN