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

Desert Valley Dermatology PLC

Organization MOHS-Micrographic Surgery Physician · NPI 1124739560

Desert Valley Dermatology PLC is an MOHS-Micrographic Surgery Physician in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3815 E Bell Rd Ste 3100
Phoenix, AZ 85032-2156
Phone: (918) 625-4103
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1124739560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Lam — Member · (918) 625-4103
NPI enumeratedDecember 7, 2022
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address4636 E Lafayette Blvd, Phoenix, AZ 85018-3830

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