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

Canyon Pain Surgery Center

Organization Anesthesiology Physician · NPI 1245054816

Canyon Pain Surgery Center is an Anesthesiology Physician in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4540 E Baseline Rd Ste 117
Mesa, AZ 85206-4617
Phone: (480) 561-0446
Fax: (480) 608-4762
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1245054816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Gibb — Owner And Physician · (480) 561-5000
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address4540 E Baseline Rd Ste 117, Mesa, AZ 85206-4617

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