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

Arizona Skin Specialists Dermatology, LLC

Organization Dermatology Physician · NPI 1376859066

Arizona Skin Specialists Dermatology, LLC is a Dermatology Physician in Phoenix, Arizona. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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

16620 N 40th St Ste I-5
Phoenix, AZ 85032-3348
Phone: (480) 585-7474
Fax: (480) 718-7342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X

Record details

NPI number1376859066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Johnson — President · (480) 585-7474
NPI enumeratedAugust 19, 2010
Last updated in NPPESAugust 19, 2010
Mailing address16620 N 40th St, Ste I-5, Phoenix, AZ 85032-3348

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