Organization
PASSPORT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SOWARDS RN (CLINICAL SUPERVISOR)
(877) 358-8648
Entity
Organization
Contact information
Practice address
6710 E CAMELBACK RD STE 200, SCOTTSDALE, AZ 85251-2031
(877) 358-8648
Mailing address
6710 E CAMELBACK RD STE 200, SCOTTSDALE, AZ 85251-2031
(877) 358-8648
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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