Organization
PPH OHIO LLC
Active
Other names
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
21825 CHAGRIN BOULEVARD, SUITE 345, BEACHWOOD, OH 44122-5337
(877) 358-8648
(877) 877-6875
Mailing address
668 N 44TH ST, SUITE 100W, PHOENIX, AZ 85008-6507
(877) 358-8648
(877) 877-6875
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
OH
Other
Enumeration date
03/19/2014
Last updated
04/01/2022
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