Organization · Type 2 NPI
Impactmedical, LLC
Multi-Specialty Clinic/Center · Phoenix, AZ
NPI number
1790387694
Active
Practice location
701 W Glendale Ave
Phoenix, AZ 85021-8629
Mailing address
7000 N 16th St Ste 102-201
Phoenix, AZ 85020-5512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Rehabilitation Clinic/Center | 261QR0400X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1790387694
Impactmedical, LLC's National Provider Identifier is 1790387694, issued on Nov 15, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 15, 2020.