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

Integrated Dermatology of Mesa PLLC

Organization Dermatology Physician · NPI 1922378850

Integrated Dermatology of Mesa PLLC provides Dermatology Physician services in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
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

130 S 63rd St Ste 114
Mesa, AZ 85206-1620
Phone: (480) 981-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (AZ)

Record details

NPI number1922378850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerard Christopher — Coo · (561) 314-2000
NPI enumeratedJanuary 10, 2012
Last updated in NPPESJuly 21, 2022
Mailing address902 Clint Moore Rd, Suite 226, Boca Raton, FL 33487-2800

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