Provider Demographics
NPI:1669676557
Name:VO, HALEY ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:ELIZABETH
Last Name:VO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SUGAR CREEK CTR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-3507
Mailing Address - Country:US
Mailing Address - Phone:479-876-1414
Mailing Address - Fax:479-855-4540
Practice Address - Street 1:24 SUGAR CREEK CTR
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714-3507
Practice Address - Country:US
Practice Address - Phone:479-876-1414
Practice Address - Fax:479-855-4540
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE5534207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR178665001Medicaid
AR178665001Medicaid