Organization
ANDREW M. FOX MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MICKLE FOX M.D. (OWNER)
(808) 871-8611
Entity
Organization
Contact information
Practice address
53 S PUUNENE AVE, SUITE 102, KAHULUI, HI 96732-2192
(808) 871-8611
(808) 893-0211
Mailing address
53 S PUUNENE AVE, SUITE 102, KAHULUI, HI 96732-2192
(808) 871-8611
(808) 893-0211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD10042
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24660804
—
HI
01
—
MD10042
STATE LICENSE NUMBER
HI
Enumeration date
05/24/2007
Last updated
05/20/2010
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