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CANYON PAIN AND SPINE NPI 1235903709


NPI Information

NPI: 1235903709
Provider Name: CANYON PAIN AND SPINE
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ
ZIP 85142
Phone: (480) 561-5000
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CANYON PAIN AND SPINE is a durable medical equipment medical supplies in Queen Creek, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CANYON PAIN AND SPINE NPI is 1235903709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ
ZIP 85142-995
Phone: (480) 561-5000

The provider's authorized official is Kirk George Bowden .
The authorized official title is Physician and has the following contact phone number (480) 889-0255.

The enumeration date for this NPI number is 11/14/2023 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0000XPain MedicinePain MedicineNo
4208VP0014XPain MedicineInterventional Pain MedicineNo
5332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.