| NPI | 1639595754 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | DOUG SHACKELL Director Of Finance 480-646-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2018-08-29 |