Passport Health Holdings LLC

NPI #1336579226 in Sterling, Virginia

Provider Information

NPI Number
1336579226
Entity Type
Organization
Organization Name
Passport Health Holdings LLC
Primary Specialty
Clinic/Center
Enumeration Date
Nov 14, 2013
Last Updated
Jul 11, 2016

Practice Location

Address
1402 SHEPARD DR
Address 2
STE 101
ZIP Code
20164-4425
Phone
(877) 358-8648

Authorized Official

Name
MR. DOUG SHACKELL
Title
DIRECTOR OF FINANCE
Phone
(480) 646-9024

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Preventive Medicine - Public Health & General Preventive MedicinePublic Health & General Preventive Medicine

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