Organization · Type 2 NPI

Canyon Pain and Spine

Interventional Pain Medicine Physician · Glendale, AZ

NPI number 1104590512 Active

Practice location

6320 W Union Hills Dr Ste A270
Glendale, AZ 85308-7175

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Pain Medicine (Anesthesiology) Physician 207LP2900XNone listed
Pain Medicine Physician 208VP0000XNone listed
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: 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.

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About NPI 1104590512

Canyon Pain and Spine's National Provider Identifier is 1104590512, issued on Aug 9, 2021. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Glendale, AZ. The record was last updated on Aug 9, 2021.