| NPI | 1881883569 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | J MICHAEL SUAREZ Medical Director 480-345-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AZ OTC-2463) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |