Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Arizona Skin and Laser Therapy Institue, Ltd

Organization Procedural Dermatology Physician · NPI 1083066450

Arizona Skin and Laser Therapy Institue, Ltd provides Procedural Dermatology Physician services in Phoenix, Arizona. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16620 N 40th St Ste C-3
Phoenix, AZ 85032-3348 Not confirmed with CMS for 10 years — call before visiting
Phone: (602) 396-0851
Fax: (602) 841-0611
Show map & directions

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1083066450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neil Superfon — Physician · (602) 277-1449
NPI enumeratedJuly 8, 2016
Last updated in NPPESJuly 8, 2016
Mailing address2224 W. Northern Ave., Suite D-300, Phoenix, AZ 85021-5099

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