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Organization

MOLLED TRAVEL VACCINES, PLLC

Active
Other names
Passport Health, PPH Franchise Holdings, 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
3877 N 7TH ST., SUITE 308, PHOENIX, AZ 85014-5072
(877) 358-8648
(877) 877-6875
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
Primary

Other

Enumeration date
03/16/2017
Last updated
08/02/2022
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