OrganizationActive
Antiaging and Wellness Institute, PLLC
NPI 1376975748 · Dermatology Physician · Scottsdale, AZ
Provider details
- NPI number
- 1376975748
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Helen Ross, Physician/Owner(480) 947-2873
- License
- AZ34602 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4141 N Goldwater Blvd Ste 102
Scottsdale, AZ 85251-3848
Phone: (480) 947-2873
Approximate (ZIP-level) locationGet directions
Mailing address
4141 N Goldwater Blvd Ste 102
Scottsdale, AZ 85251-3848
Registry dates
- Enumerated
- 2013-08-07
- Last updated
- 2013-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.