Healthcare Provider Details
I. General information
NPI: 1013890557
Provider Name (Legal Business Name): RIO MEDICAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2025
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6101 S RURAL RD STE 112
TEMPE AZ
85283-2910
US
IV. Provider business mailing address
3317 S HIGLEY RD STE 114-425
GILBERT AZ
85297-5436
US
V. Phone/Fax
- Phone: 602-610-7274
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AARON
KETCHER
Title or Position: CHIEF MEDICAL OFFICER
Credential: DNP, CRNA, FNP-C
Phone: 602-610-7274