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

Integrated Dermatology of Mesa PLLC

Organization Dermatology Physician · NPI 1922378850

Integrated Dermatology of Mesa PLLC is a Dermatology Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

130 S 63rd St Ste 114
Mesa, AZ 85206-1620
Phone: (480) 981-2888
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (AZ)

Record details

NPI number1922378850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerard Christopher — Coo · (561) 314-2000
NPI enumeratedJanuary 10, 2012
Last updated in NPPESJuly 21, 2022
Mailing address902 Clint Moore Rd, Suite 226, Boca Raton, FL 33487-2800

Other providers in Mesa