# THE GARVIN GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Passport Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881883569
- **Authorized official:** DR. J MICHAEL SUAREZ M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 345-6800

## Contact information

- **Practice address:** 2435 E SOUTHERN AVE, SUITE 5, TEMPE, AZ 85282-7628
- **Practice address phone:** (480) 345-6800
- **Practice address fax:** (480) 345-6805
- **Mailing address:** 2435 E SOUTHERN AVE, SUITE 5, TEMPE, AZ 85282-7628
- **Mailing address phone:** (480) 345-6800
- **Mailing address fax:** (480) 345-6805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OTC-2463 | AZ | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 10/18/2007