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

Camelback Dermatology & Skin Surgery, Inc

Organization Dermatology Physician · NPI 1225175441

Camelback Dermatology & Skin Surgery, Inc is a Dermatology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4512 N 40th St
Phoenix, AZ 85018-3600
Phone: (602) 954-7546
Fax: (602) 952-2941
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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 31198 (AZ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 31198 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 31198 (AZ)

Record details

NPI number1225175441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Romine — Practice Administrator · (602) 954-7546
NPI enumeratedJanuary 30, 2007
Last updated in NPPESNovember 14, 2014
Mailing address4512 N 40th St, Phoenix, AZ 85018-3600

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