Individual
PETER DAVID LAGMAN DESCALLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
129 N WASHINGTON AVE APT 606, SCRANTON, PA 18503-2204
(626) 235-1935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
714705
NY
163W00000X
Registered Nurse
RN770409
PA
367500000X
Certified Registered Nurse Anesthetist
153333
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
336235
AZ
367500000X
Certified Registered Nurse Anesthetist
714705
NY
Other
Enumeration date
03/08/2025
Last updated
04/29/2026
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