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

Arizona Skin Specialists PLLC

Organization Dermatology Physician · NPI 1134165657

Arizona Skin Specialists PLLC is a Dermatology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PLLC — Professional 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: (602) 482-1300
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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 24917 (AZ)

Record details

NPI number1134165657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Johnson — Owner · (602) 482-1300
NPI enumeratedJune 22, 2006
Last updated in NPPESApril 26, 2011
Mailing address16620 N 40th St, Ste I-5, Phoenix, AZ 85032-3348

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