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

Epiphany Dermatology of Arizona, LLC

Organization Dermatology Physician · NPI 1457465858

Epiphany Dermatology of Arizona, LLC is a Dermatology Physician in Peoria, Arizona. Registered with an NPI since 2006.

In the registry since
2006
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

7767 W Deer Valley Rd Ste 140
Peoria, AZ 85382-2103
Phone: (623) 487-3003
Fax: (623) 487-0952
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1457465858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Ceo · (512) 628-0465
NPI enumeratedAugust 19, 2006
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730

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