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Organization

PASSPORT HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA SOWARDS BSN, RN (DIRECTOR COMPLIANCE)
(480) 646-9028
Entity
Organization

Contact information

Practice address
680 WEST END AVENUE, SUITE 1C, NEW YORK, NY 10025
(877) 358-8648
(877) 877-6875
Mailing address
668 N 44 ST, 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
02/21/2023
Last updated
02/21/2023
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