OrganizationActive
Arizona Skin and Dermatology PC
NPI 1639569825 · Dermatology Physician · Coolidge, AZ
Provider details
- NPI number
- 1639569825
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Manntej Sra, Owner(602) 529-4700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
153 W Central Ave
Coolidge, AZ 85128-4405
Phone: (602) 529-4700
Fax: (602) 529-4699
Approximate (ZIP-level) locationGet directions
Mailing address
8380 W Emile Zola Ave Ste 5116
Peoria, AZ 85381-4811
Registry dates
- Enumerated
- 2015-01-27
- Last updated
- 2015-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.