| Passport Health | |
|
4343 E Outlier Boulevard Phoenix AZ 85008 | |
| (877) 358-8648 | |
| (877) 877-6875 |
| Full Name | Passport Health |
|---|---|
| Speciality | Clinic/center |
| Location | 4343 E Outlier Boulevard, Phoenix, Arizona |
| Authorized Official Name and Position | Victoria Sowards (DIRECTOR CLINICAL COMPLIANCE) |
| Authorized Official Contact | 8773588648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passport Health 4343 E Outlier Boulevard Phoenix AZ 85008 Ph: (877) 358-8648 | Passport Health 4343 E Outlier Boulevard Phoenix AZ 85008 Ph: (877) 358-8648 |
| NPI Number | 1679267579 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679267579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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