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
4540 E BASELINE RD STE 117, MESA, AZ 85206-4617
(480) 561-5000
(480) 591-0502
Mailing address
4540 E BASELINE RD STE 117, MESA, AZ 85206-4617
(480) 561-5000
(480) 591-0502
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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/09/2021
Last updated
07/10/2023
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