Organization
CANYON PAIN AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK GEORGE BOWDEN (OWNER AND PHYSICIAN)
(480) 889-0255
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE STE 108, MESA, AZ 85206-4633
(480) 561-5000
(480) 984-4066
Mailing address
4566 E INVERNESS AVE STE 108, MESA, AZ 85206-4633
(480) 561-5000
(480) 984-4066
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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