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

Arizona Skin Specialists PLLC

Organization Dermatology Physician · NPI 1134165657

Arizona Skin Specialists PLLC provides Dermatology Physician services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

16620 N 40th St Ste I-5
Phoenix, AZ 85032-3348 Not confirmed with CMS for 15 years — call before visiting
Phone: (602) 482-1300
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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 24917 (AZ)

Record details

NPI number1134165657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Johnson — Owner · (602) 482-1300
NPI enumeratedJune 22, 2006
Last updated in NPPESApril 26, 2011
Mailing address16620 N 40th St, Ste I-5, Phoenix, AZ 85032-3348

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