Organization
METRO MEDICAL GROUP LLC
Active
Other names
Ketamine Treatment Centers of America
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW M RHODES FNP (MEMBER)
(480) 676-3555
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE STE A105, PHOENIX, AZ 85029-4609
(480) 676-3555
(480) 999-4481
Mailing address
3201 W PEORIA AVE STE A105, PHOENIX, AZ 85029-4609
(480) 676-3555
(480) 999-4481
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
08/11/2019
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