OrganizationActive
Dermatology and Plastic Surgery of Arizona LLC
NPI 1649611476 · MOHS-Micrographic Surgery Physician · Sierra Vista, AZ
Provider details
- NPI number
- 1649611476
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jamie Moenster, Member(520) 458-1787
- License
- 006021 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352
Phone: (520) 458-1787
Fax: (520) 458-1519
Approximate (ZIP-level) locationGet directions
Mailing address
150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352
Additional practice locations (1)
- 5101 N Oracle Rd # 121Tucson, AZ 85704-3713Phone: (520) 207-3100Fax: (520) 777-7634
Registry dates
- Enumerated
- 2013-07-09
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.