Organization
CANYON PAIN AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK GEORGE BOWDEN DO (OWNER)
(480) 889-0255
Entity
Organization
Contact information
Practice address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518
(623) 232-8787
Mailing address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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