Healthcare Provider Details

I. General information

NPI: 1720994734
Provider Name (Legal Business Name): AEGIS BONE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13203 N 103RD AVE STE H5
SUN CITY AZ
85351-3032
US

IV. Provider business mailing address

10015 E SHANGRI LA RD
SCOTTSDALE AZ
85260-6314
US

V. Phone/Fax

Practice location:
  • Phone: 623-235-4726
  • Fax: 623-777-4748
Mailing address:
  • Phone: 623-235-4726
  • Fax: 623-777-4748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER DEAN CUMMINGS
Title or Position: MD/OWNER
Credential: MD
Phone: 623-235-4726