Provider Demographics
NPI:1649431909
Name:FOX-BEHRLE, VICTORIA F (MD, MPH)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:F
Last Name:FOX-BEHRLE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:FELIZ
Other - Last Name:FOX-BEHRLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:67-1185 MAMALAHOA HWY
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-7304
Mailing Address - Country:US
Mailing Address - Phone:808-881-4500
Mailing Address - Fax:
Practice Address - Street 1:67-1185 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-7304
Practice Address - Country:US
Practice Address - Phone:808-881-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.30024208D00000X
WAMD.60297890208D00000X
HIMD-19669208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice