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

Willow Dermatology, PLLC

Organization Dermatology Physician · NPI 1558216093

Willow Dermatology, PLLC is a Dermatology Physician in Tucson, Arizona. Registered with an NPI since 2026.

In the registry since
2026
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

7544 N La Cholla Blvd
Tucson, AZ 85741-2307
Phone: (520) 261-5205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1558216093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Fazel — Md/Co-Owner · (520) 261-5205
NPI enumeratedMarch 2, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address7544 N La Cholla Blvd, Tucson, AZ 85741-2307

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