Organization
CANYON PAIN AND WELLNESS PLLC
Active
Other names
AZ Infusion Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONY K WAWERU CRNA (ADMINISTRATOR)
(602) 325-2020
Entity
Organization
Contact information
Practice address
6120 W BELL RD STE 100, GLENDALE, AZ 85308-3780
(602) 472-2157
Mailing address
6120 W BELL RD STE 100, GLENDALE, AZ 85308-3780
(602) 472-2157
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/06/2026
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