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

Richard Lee Averitte Jr PLLC

Organization Dermatology Physician · NPI 1609291848

Richard Lee Averitte Jr PLLC is a Dermatology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19646 N 27th Ave Ste 305
Phoenix, AZ 85027-4017
Phone: (480) 556-0446
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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 40537 (AZ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 40537 (AZ)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 40537 (AZ)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 40537 (AZ)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 40537 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 40537 (AZ)

Record details

NPI number1609291848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlie Averitte — Cfo · (480) 556-0446
Other names Affiliated Dermatology
NPI enumeratedFebruary 25, 2014
Last updated in NPPESFebruary 25, 2014
Mailing address20401 N 73rd St, Ste 230, Scottsdale, AZ 85255-4107

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