Provider Demographics
NPI:1063447910
Name:VO, TIMOTHY T (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:T
Last Name:VO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2808 MAPLE ST N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-1719
Mailing Address - Country:US
Mailing Address - Phone:701-239-6066
Mailing Address - Fax:701-293-9482
Practice Address - Street 1:2624 9TH AVE S
Practice Address - Street 2:SOUTHEAST HUMAN SERVICE CENTER
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2350
Practice Address - Country:US
Practice Address - Phone:701-298-4500
Practice Address - Fax:701-298-4400
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2013-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ND74182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND7418OtherSTATE MEDICAL LICENSE