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

Az Dermatology

Organization Specialist · NPI 1962737965

Az Dermatology is a Specialist in Maricopa, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009

Practice location Address checks out

21300 N John Wayne Pkwy Ste 112
Maricopa, AZ 85139-8979
Phone: (520) 374-2462
Fax: (520) 374-2467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 36353 (AZ)

Record details

NPI number1962737965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayshri Gamoth — Owner · (520) 374-2462
NPI enumeratedOctober 8, 2009
Last updated in NPPESOctober 8, 2009
Mailing address1821 N Trekell Rd, Suite 5, Casa Grande, AZ 85122-1705

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