Organization
CANYON PAIN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GIBB MD (OWNER AND PHYSICIAN)
(480) 561-5000
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 117, MESA, AZ 85206-4617
(480) 561-0446
(480) 608-4762
Mailing address
4540 E BASELINE RD STE 117, MESA, AZ 85206-4617
(480) 561-0446
(480) 608-4762
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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