| NPI | 1245871110 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | DOUGH SHACKELL Director Of Finance 480-646-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |