Canyon Pain And Spine
Interventional Pain Medicine
4540 E Baseline Rd Ste 117, Mesa
Arizona, 85206-4617
480-561-5000 480-591-0502
Canyon Pain And Spine is a Interventional Pain Medicine in Mesa, Arizona. It is located at 4540 E Baseline Rd Ste 117, Mesa and it's customer support contact number is 480-561-5000. The authorized person of Canyon Pain And Spine is Kirk George Bowden, DO who is Owner of this DME and his contact number is 480-889-0255. Canyon Pain And Spine accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Canyon Pain And Spine is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
DME Supplier Details:
Canyon Pain And Spine type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Canyon Pain And Spine |
| Type: | Interventional Pain Medicine |
| Location: | 4540 E Baseline Rd Ste 117, Mesa,
Arizona, 85206-4617 |
| Phone: | 480-561-5000 |
| Fax: | 480-591-0502 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kirk George Bowden |
| Credentials: | DO |
| Position: | Owner |
| Contact Number: | 480-889-0255 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1770257180 |
| NPI Enumeration Date: | 09 Aug, 2021 |
| NPI Last Update On: | 10 Jul, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Canyon Pain And Spine are as mentioned below.
| Specialization | License Number | State | Status | |
| Interventional Pain Medicine | | | Primary | |
| Anesthesiology | | | Secondary | |
| Pain Medicine | | | Secondary | |
| Pain Medicine | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Canyon Pain And Spine is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3870992647 | O20211209001833 | Canyon Pain And Spine | DME SUPPLIER - PHYSICIAN - ANESTHESIOLOGY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4540 E Baseline Rd Ste 117,
Mesa, Arizona |
| Zip: | 85206-4617 |
| Phone Number: | 480-561-5000 |
| Fax Number: | 480-591-0502 |
Patients can reach Canyon Pain And Spine at
4540 E Baseline Rd Ste 117, Mesa, Arizona or can
call on customer care at 480-561-5000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.