OrganizationActive
Az Dermatology
NPI 1962737965 · Specialist · Maricopa, AZ
Provider details
- NPI number
- 1962737965
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jayshri Gamoth, Owner(520) 374-2462
- License
- 36353 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
21300 N John Wayne Pkwy
Suite 112
Maricopa, AZ 85139-8979
Phone: (520) 374-2462
Fax: (520) 374-2467
Approximate (ZIP-level) locationGet directions
Mailing address
1821 N Trekell Rd
Casa Grande, AZ 85122-1705
Registry dates
- Enumerated
- 2009-10-08
- Last updated
- 2009-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.