Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Actinodermatology Ltd

Organization Dermatology Physician · NPI 1063695252

Actinodermatology Ltd is a Dermatology Physician in Tempe, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2600 E Southern Ave #A-2
Tempe, AZ 85282-7610
Phone: (480) 839-1767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 7979 (AZ)

Record details

NPI number1063695252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Ponitch — President · (480) 839-1767
NPI enumeratedDecember 11, 2007
Last updated in NPPESApril 1, 2010
Mailing address2600 E Southern Ave, A-2, Tempe, AZ 85282-7610

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