NPI 1336557685

Passport Health Holdings, LLC.

Organisation Public Health & General Preventive Medicine Physician Las Vegas, NV

Practice location

Address: 3211 N. Tenaya Way, Las Vegas, NV 85255
Phone: (888) 909-6551
Fax: (480) 383-6567
Mailing address: 8324 E. Hartford Dr #200, Scottsdale, AZ 85255

Authorised official

Name: Doug Shackell
Title: Director of Finance
Phone: (480) 646-9024

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in Nevada →

Registry record

NPI: 1336557685
Entity type: Organization
NPI issued: 31 Jul 2014
Record last updated: 18 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.