Provider Demographics
NPI:1538272596
Name:CASPER, PETER J (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:J
Last Name:CASPER
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:2928 N 18TH PL
Mailing Address - Street 2:PETER J. CASPER, M.D.
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7705
Mailing Address - Country:US
Mailing Address - Phone:602-263-0841
Mailing Address - Fax:602-263-0962
Practice Address - Street 1:2928 N 18TH PL
Practice Address - Street 2:PETER J. CASPER, M.D.
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7705
Practice Address - Country:US
Practice Address - Phone:602-263-0841
Practice Address - Fax:602-263-0962
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ4841207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology