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

Canyon Pain Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1972217180

Canyon Pain Surgery Center is an Ambulatory Surgical Clinic/Center in Mesa, Arizona. Registered with an NPI since 2023.

In the registry since
2023

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

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1972217180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Smith — Administrator · (480) 565-5925
NPI enumeratedJanuary 11, 2023
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address4540 E Baseline Rd Ste 117, Mesa, AZ 85206-4617

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