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Organization
PASSPORT HEALTH HOLDINGS, LLC
Active
Organization
PASSPORT HEALTH HOLDINGS, LLC
Active
Other names
Passport Health, PPH Global Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FISHBURN (CHIEF OPERATING OFFICER)
(480) 646-9020
Entity
Organization
Contact information
Practice address
4220 CAHABA HEIGHTS COURT, STE 200, BIRMINGHAM, AL 35243-5730
(877) 358-8648
(480) 546-3421
Mailing address
668 N 44TH ST, SUITE 100W, PHOENIX, AZ 85008-6507
(877) 358-8648
(480) 546-3421
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/13/2014
Last updated
03/25/2022
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