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

North Valley Dermatology LLC

Organization Dermatology Physician · NPI 1184600884

North Valley Dermatology LLC is a Dermatology Physician in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
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

14155 N 83rd Ave Ste 110
Peoria, AZ 85381-5639
Phone: (623) 215-0911
Fax: (623) 215-0912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 16095 (AZ)

Record details

NPI number1184600884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Fredenberg — Owner · (623) 215-0911
NPI enumeratedDecember 15, 2005
Last updated in NPPESSeptember 12, 2011
Mailing address14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5639

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