Organization
IMPULSE HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RHODES NP (ADMINISTRATOR)
(602) 560-1204
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE STE C500, PHOENIX, AZ 85029-4600
(602) 699-6353
(602) 699-6354
Mailing address
1204 E BASELINE RD STE 106, TEMPE, AZ 85283-1447
(602) 560-1204
(602) 560-1205
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
—
173000000X
Legal Medicine
—
—
204R00000X
Electrodiagnostic Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
04/29/2019
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