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MOLLED TRAVEL VACCINES PLLC NPI 1811438351


NPI Information

NPI: 1811438351
Provider Name: MOLLED TRAVEL VACCINES, PLLC

Doing Business As: PASSPORT HEALTH

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
1176 E WARNER RD
SUITE 118
GILBERT, AZ
ZIP 85296
Phone: (877) 358-8648
Get Directions

MOLLED TRAVEL VACCINES, PLLC is a public health and general preventive medicine preventive medicine in Gilbert, AZ. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. MOLLED TRAVEL VACCINES, PLLC NPI is 1811438351. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Passport Health.

The provider's business location address is:

1176 E WARNER RD
SUITE 118
GILBERT, AZ
ZIP 85296-067
Phone: (877) 358-8648
Fax: (877) 877-6875

The provider's authorized official is Paul Fishburn .
The authorized official title is Chief Operating Officer and has the following contact phone number (480) 646-9020.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 8/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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