Organization
CANYON PAIN AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK GEORGE BOWDEN (PHYSICIAN)
(480) 889-0255
Entity
Organization
Contact information
Practice address
21321 E OCOTILLO RD STE 125, QUEEN CREEK, AZ 85142-5995
(480) 561-5000
Mailing address
21321 E OCOTILLO RD STE 125, QUEEN CREEK, AZ 85142-5995
(480) 561-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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