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

Arizona Skin and Dermatology PC

Organization Dermatology Physician · NPI 1639569825

Arizona Skin and Dermatology PC is a Dermatology Physician in Coolidge, Arizona. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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

153 W Central Ave
Coolidge, AZ 85128-4405
Phone: (602) 529-4700
Fax: (602) 529-4699
Show map & directions

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

Record details

NPI number1639569825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manntej Sra — Owner · (602) 529-4700
NPI enumeratedJanuary 27, 2015
Last updated in NPPESJanuary 27, 2015
Mailing address8380 W Emile Zola Ave Ste 5116, Peoria, AZ 85381-4811

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