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

Southwest Skin & Cancer Institute

Organization Dermatology Physician · NPI 1679774749

Southwest Skin & Cancer Institute provides Dermatology Physician services in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

242 Whipple St
Prescott, AZ 86301-1787 Not confirmed with CMS for 18 years — call before visiting
Phone: (928) 778-0808
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 31062AZ (AZ)

Record details

NPI number1679774749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Fleck — President · (928) 778-0808
NPI enumeratedMay 29, 2007
Last updated in NPPESSeptember 10, 2008
Mailing address242 Whipple Street, Prescott, AZ 86301-1787

Other providers in Prescott