Organization
PASSPORT HEALTH HOLDINGS LLC
Active
Organization
PASSPORT HEALTH HOLDINGS LLC
Active
Other names
PPH Franchise Holdings LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG SHACKELL (DIRECTOR OF FINANCE)
(480) 646-9024
Entity
Organization
Contact information
Practice address
4647 N 32ND STREET, SUITE 115 1ST FLOOR, PHOENIX, AZ 85018-3346
(877) 358-8648
(877) 877-6875
Mailing address
8324 E HARTFORD DR STE 200, SCOTTSDALE, AZ 85255-7801
(877) 358-8648
(877) 877-6875
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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