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

Dermatology Northwest LLC

Organization Dermatology Physician · NPI 1790956415

Dermatology Northwest LLC is a Dermatology Physician in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
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

1845 W Orange Grove Rd Ste 101
Tucson, AZ 85704-1134
Phone: (520) 544-2211
Fax: (520) 544-2277
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 17914 (AZ)

Record details

NPI number1790956415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Bennett — Owner · (520) 544-2211
NPI enumeratedMarch 20, 2008
Last updated in NPPESApril 11, 2008
Mailing address1845 W Orange Grove Rd, Suite 101, Tucson, AZ 85704-1134

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