NPI 1942199500

Billet Dermatology INC

Organisation MOHS-Micrographic Surgery Physician Glendale, AZ

Practice location

Address: 5540 W Glendale Ave STE A103, Glendale, AZ 85301-2579
Phone: (833) 224-5538
Fax: (833) 424-5538
Mailing address: 6710 N 47th Ave, Glendale, AZ 85301-4121

Authorised official

Name: Zachary Coronado
Title: Administrator
Phone: (623) 521-9113

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in Arizona →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Arizona →

Registry record

NPI: 1942199500
Entity type: Organization
NPI issued: 30 Jun 2025
Record last updated: 8 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.