OrganizationActive
Passport Health Holdings LLC
NPI 1376033233 · Public Health & General Preventive Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1376033233
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Doug Shackell, Director of Finance(480) 646-9024
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4647 N 32nd Street
Suite 115 1st Floor
Phoenix, AZ 85018-3346
Phone: (877) 358-8648
Fax: (877) 877-6875
Approximate (ZIP-level) locationGet directions
Mailing address
8324 E Hartford Dr Ste 200
Scottsdale, AZ 85255-7801
Other names (DBA / former)
- Other name
- Pph Franchise Holdings LLC
Registry dates
- Enumerated
- 2018-05-16
- Last updated
- 2018-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.