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

Valley Dermatology PLLC

Organization Dermatology Physician · NPI 1578360665

Valley Dermatology PLLC is a Dermatology Physician in Glendale, Arizona. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

5702 W Glendale Ave
Glendale, AZ 85301-2556
Phone: (623) 937-8969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 S Gilbert Rd Ste 102, Mesa, AZ 85204-5235 — (480) 779-4008

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1578360665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Sanniec — Manager · (602) 376-8638
NPI enumeratedFebruary 26, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing addressPo Box 94765, Phoenix, AZ 85070-4765

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