Organization
ANDREW M. FOX MD LLC
Active
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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