Organization
PASSPORT HEALTH HOLDINGS, LLC.
Active
Other names
PPH Global Services, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SHACKELL (DIRECTOR OF FINANCE)
(480) 646-9024
Entity
Organization
Contact information
Practice address
2812 EMERYWOOD PARKWAY, #160, RICHMOND, VA 23294
(888) 909-6551
(480) 383-6567
Mailing address
8324 E HARTFORD DR, #200, SCOTTSDALE, AZ 85255
(888) 909-6551
(480) 383-6567
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
261Q0000X
NV
Other
Enumeration date
03/13/2014
Last updated
03/18/2016
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