Organization
MOLLED TRAVEL VACCINES, PLLC
Active
Other names
PPH Franchise Holdings, LLC, Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FISHBURN (CHIEF OPERATING OFFICER)
(480) 646-9020
Entity
Organization
Contact information
Practice address
6700 N ORACLE RD, SUITE 110, TUCSON, AZ 85704-7732
(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
08/04/2022
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