Canyon Pain Surgery Center

NPI #1245054816 in Mesa, Arizona

Provider Information

NPI Number: 1245054816
Entity Type: Organization
Organization Name: Canyon Pain Surgery Center
Primary Specialty: Anesthesiology
Enumeration Date: Nov 11, 2024
Last Updated: Nov 11, 2024

Practice Location

Address: 4540 E BASELINE RD STE 117
City: Mesa
State: Arizona
ZIP Code: 85206-4617
Phone: (480) 561-0446

Authorized Official

Name: RYAN GIBB, MD
Title: OWNER AND PHYSICIAN
Phone: (480) 561-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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