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

Family Practice Specialists Ltd

Organization Dermatology Physician · NPI 1972563187

Family Practice Specialists Ltd is a Dermatology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 E Shea Blvd Ste 100
Phoenix, AZ 85028-6031
Phone: (602) 955-8700
Fax: (602) 553-8142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (AZ)
Dermatology Physician Taxonomy 207N00000X (AZ)

Record details

NPI number1972563187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wyse — President · (602) 955-8700
NPI enumeratedMarch 23, 2006
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing address4600 E Shea Blvd Ste 100, Phoenix, AZ 85028-6031

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