Organization · Type 2 NPI

Passport Health

Health Service Clinic/Center · St. Louis, MO

NPI number 1205255247 Active

Practice location

2025 S Brentwood Blvd, Suite 101
St. Louis, MO 63144-1833

Fax (314) 997-8102

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

8 other providers at this address

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About NPI 1205255247

Passport Health's National Provider Identifier is 1205255247, issued on Apr 7, 2014. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in St. Louis, MO. The record was last updated on Oct 2, 2014.