Organization
PASSPORT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SOWARDS BSN, RN (DIRECTOR CLINICAL COMPLIANCE)
(480) 646-9028
Entity
Organization
Contact information
Practice address
3000 BETHESDA PLACE, STE 101, WINSTON-SALEM, NC 27103
(877) 358-8648
(877) 877-6875
Mailing address
668 N 44TH STREET, STE 210W, PHOENIX, AZ 85008
(480) 646-9028
(877) 877-6875
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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