Healthcare Provider Details

I. General information

NPI: 1154026748
Provider Name (Legal Business Name): PETER FRANCIS CAMMANS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1856 E FLORENCE BLVD
CASA GRANDE AZ
85122-5303
US

IV. Provider business mailing address

1856 E FLORENCE BLVD
CASA GRANDE AZ
85122-5303
US

V. Phone/Fax

Practice location:
  • Phone: 520-836-5036
  • Fax: 520-316-0365
Mailing address:
  • Phone: 520-836-5036
  • Fax: 520-316-0365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number012470
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: