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

Organization Dermatology Physician · NPI 1619378098

Arizona Skin & Dermatology, PC is a Dermatology Physician in Glendale, Arizona. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7200 W Bell Rd Ste E103
Glendale, AZ 85308-8529
Phone: (602) 529-4700
Fax: (602) 529-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X

Record details

NPI number1619378098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manntej Sra — Ceo · (602) 529-4700
NPI enumeratedSeptember 4, 2014
Last updated in NPPESJanuary 23, 2015
Mailing address8380 W Emile Zola Ave, Suite 5116, Peoria, AZ 85381-4811

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