OrganizationActive
Arizona Skin and Laser Therapy Institute, LLC
NPI 1790732832 · Dermatology Physician · Phoenix, AZ
Provider details
- NPI number
- 1790732832
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- William Ko, Managing Employee
Practice location
2224 W Northern Ave
Suite D-300
Phoenix, AZ 85021-4928
Phone: (602) 277-1449
Fax: (602) 277-9984
Mailing address
9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.