# PASSPORT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649978495
- **Authorized official:** VICTORIA SOWARDS BSN, RN (DIRECTOR COMPLIANCE)
- **Authorized official phone:** (480) 646-9028

## Contact information

- **Practice address:** 680 WEST END AVENUE, SUITE 1C, NEW YORK, NY 10025
- **Practice address phone:** (877) 358-8648
- **Practice address fax:** (877) 877-6875
- **Mailing address:** 668 N 44 ST, PHOENIX, AZ 85008
- **Mailing address phone:** (480) 646-9028
- **Mailing address fax:** (877) 877-6875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2023
- **Last updated:** 02/21/2023