Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Pain and Spine

Organization Anesthesiology Physician · NPI 1770257180

Canyon Pain and Spine is an Anesthesiology Physician in Mesa, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5

Practice location Address checks out

4540 E Baseline Rd Ste 117
Mesa, AZ 85206-4617
Phone: (480) 561-5000
Fax: (480) 591-0502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pain Medicine Physician Taxonomy 208VP0000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1770257180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirk Bowden — Owner · (480) 889-0255
NPI enumeratedAugust 9, 2021
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address4540 E Baseline Rd Ste 117, Mesa, AZ 85206-4617

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