OrganizationActive
Arizona Associates in Dermatology and Cosmetic Surgery, LLC
NPI 1659467397 · Dermatology Physician · Prescott, AZ
Provider details
- NPI number
- 1659467397
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Amy Fajardo, Billing/Credentialing
- License
- 29683 (AZ)
Practice location
830 Ainsworth Dr
Prescott, AZ 86301-1630
Phone: (928) 776-0325
Fax: (928) 776-0405
Mailing address
830 Ainsworth Dr
Prescott, AZ 86301-1630
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2019-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.