NPI 1790732832 · live from the CMS NPI Registry
Arizona Skin And Laser Therapy Institute, LLC
Dermatology in Phoenix, AZ. National Provider Identifier 1790732832, active.
NPI record
| NPI | 1790732832 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2224 W Northern Ave, Suite D-300, Phoenix, AZ 85021 |
| Practice phone | 602-277-1449 |
| Mailing address | 9900 N Central Expy Ste 500, Dallas, TX 75231 |
| Enumerated | May 27, 2006 |
| Last updated | October 21, 2025 |
| Authorized official | William Ko, Managing Employee |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.