| NPI | 1497272058 |
|---|---|
| Other Name | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL FISHBURN Chief Operating Officer 480-646-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-05-25 |