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Contact Information

CANYON PAIN AND SPINE
14445 W MCDOWELL RD STE A104
GOODYEAR, AZ85395-2518
 Phone: 623-232-8787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CANYON PAIN AND SPINE

NPI Number 1295409605
LBN Legal business name CANYON PAIN AND SPINE
Authorized official KIRK BOWDEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2021
Last updated 08/09/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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