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

Southwest Skin Specialists LLC

Organization Dermatology Physician · NPI 1174521926

Southwest Skin Specialists LLC provides Dermatology Physician services in Phoenix, 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

11130 N Tatum Blvd Ste 100
Phoenix, AZ 85028-1630
Phone: (602) 494-1817
Fax: (602) 494-7103
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 98010735 (AZ)

Record details

NPI number1174521926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Luber — President · (602) 494-1817
NPI enumeratedJuly 13, 2005
Last updated in NPPESSeptember 6, 2017
Mailing address10200 N 92nd St, 205, Scottsdale, AZ 85258-4534

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