Provider Demographics
NPI:1083945828
Name:MACINTOSH, VICTOR HENRY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:HENRY
Last Name:MACINTOSH
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2513 KENNEDY CIR BLDG 180
Mailing Address - Street 2:USAF SCHOOL OF AEROSPACE MEDICINE USAFSAM/PHR
Mailing Address - City:BROOKS CITY BASE
Mailing Address - State:TX
Mailing Address - Zip Code:78235-5116
Mailing Address - Country:US
Mailing Address - Phone:210-536-5353
Mailing Address - Fax:
Practice Address - Street 1:2513 KENNEDY CIR BLDG 180
Practice Address - Street 2:USAF SCHOOL OF AEROSPACE MEDICINE USAFSAM/PHR
Practice Address - City:BROOKS CITY BASE
Practice Address - State:TX
Practice Address - Zip Code:78235-5116
Practice Address - Country:US
Practice Address - Phone:210-536-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM81-2582083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine