Organization
CANYON PAIN AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK GEORGE BOWDEN (OWNER)
(480) 889-0255
Entity
Organization
Contact information
Practice address
1492 S MILL AVE STE 305, TEMPE, AZ 85281-5676
(480) 561-5000
(623) 232-2789
Mailing address
1492 S MILL AVE STE 305, TEMPE, AZ 85281-5676
(480) 561-5000
(623) 232-2789
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
07/10/2023
Last updated
07/10/2023
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