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

Dermatology and Plastic Surgery of Arizona LLC

Organization Dermatology Physician · NPI 1649611476

Dermatology and Plastic Surgery of Arizona LLC is a Dermatology Physician in Sierra Vista, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2013
Specialties on file
3
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

150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352
Phone: (520) 458-1787
Fax: (520) 458-1519
Show map & directions

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

Additional practice locations (1)

  • 5101 N Oracle Rd # 121, Tucson, AZ 85704-3713 — (520) 207-3100

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X · Licence 006021 (AZ)
Plastic Surgery Physician Taxonomy 208200000X · Licence 006018 (AZ)

Record details

NPI number1649611476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Moenster — Member · (520) 458-1787
NPI enumeratedJuly 9, 2013
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address150 S Coronado Dr Ste 110, Sierra Vista, AZ 85635-6352

Other providers in Sierra Vista