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Contact Information

BILLET DERMATOLOGY INC
5540 W GLENDALE AVE STE A103
GLENDALE, AZ85301-2579
 Phone: 833-224-5538
 Fax: 833-424-5538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BILLET DERMATOLOGY INC

NPI # 1942199500
LBN Legal business name BILLET DERMATOLOGY INC
Authorized official ZACHARY CORONADO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2025
Last updated 05/08/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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