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

North Valley Dermatology LLC

Organization Dermatology Physician · NPI 1184600884

North Valley Dermatology LLC provides Dermatology Physician services in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14155 N 83rd Ave Ste 110
Peoria, AZ 85381-5639 Not confirmed with CMS for 15 years — call before visiting
Phone: (623) 215-0911
Fax: (623) 215-0912
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 16095 (AZ)

Record details

NPI number1184600884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Fredenberg — Owner · (623) 215-0911
NPI enumeratedDecember 15, 2005
Last updated in NPPESSeptember 12, 2011
Mailing address14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5639

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