IndividualActive
Timothy Camasta, PAC
NPI 1104885615 · Brain Injury Medicine (Psychiatry & Neurology) Physician · Fort Carson, CO
Provider details
- NPI number
- 1104885615
- Entity type
- Individual
- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA12294 (CA)
Practice location
7092 Harr Ave Bldg 6492
Fort Carson, CO 80902-2190
Phone: (719) 524-5217
Fax: (719) 526-3088
Mailing address
7092 Harr Ave Bldg 6492
Fort Carson, CO 80902-2190
Registry dates
- Enumerated
- 2006-03-22
- Last updated
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.