Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Passport Health Holdings, LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1205377736

Passport Health Holdings, LLC is a Public Health & General Preventive Medicine Physician in Provo, Utah. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1055 N 300 W Ste 416
Provo, UT 84604-3354
Phone: (877) 358-8648
Fax: (877) 877-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X

Record details

NPI number1205377736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doug Shackell — Director Of Finance · (480) 646-9024
Other names Pph Franchise Holdings, Llc
NPI enumeratedMarch 16, 2017
Last updated in NPPESMarch 16, 2017
Mailing address8324 E Hartford Dr, Ste 200, Scottsdale, AZ 85255-7801

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