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

Ahwatukee Skin & Laser LLC

Organization Dermatopathology Physician · NPI 1407167596

Ahwatukee Skin & Laser LLC is a Dermatopathology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4425 E Agave Rd Ste 148
Phoenix, AZ 85044-0619
Phone: (480) 704-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 15963 (AZ)

Record details

NPI number1407167596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Neumann — Manager, Provider · (480) 704-7546
NPI enumeratedJune 23, 2010
Last updated in NPPESAugust 14, 2010
Mailing address4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619

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