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

Southwest Skin Specialists LLC

Organization Dermatology Physician · NPI 1174521926

Southwest Skin Specialists LLC is a Dermatology Physician in Phoenix, 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

11130 N Tatum Blvd Ste 100
Phoenix, AZ 85028-1630
Phone: (602) 494-1817
Fax: (602) 494-7103
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 98010735 (AZ)

Record details

NPI number1174521926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Luber — President · (602) 494-1817
NPI enumeratedJuly 13, 2005
Last updated in NPPESSeptember 6, 2017
Mailing address10200 N 92nd St, 205, Scottsdale, AZ 85258-4534

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