MEDICARE: ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1902355720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD

Provider Business Mailing Address
First Line	:	2224 W NORTHERN AVE
Second Line	:	SUITE D300
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4928
Country	:	US
Telephone Number	:	602-277-1449
Fax Number	:	602-277-9984

Provider Business Practice Location Address
First Line	:	153 N CENTRAL AVE
Second Line	:
City	:	COOLIDGE
State	:	AZ
Zip	:	85128-4405
Country	:	US
Telephone Number	:	520-723-8182
Fax Number	:	520-723-9172

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	NEIL P SUPERFON
Credential	:	DO
Telephone Number	:	602-277-2247

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	09/22/2016

Similar Medicare Providers

1639569825 — ARIZONA SKIN AND DERMATOLOGY PC
Practice Location Address:

153 W CENTRAL AVE
COOLIDGE, AZ
85128-4405

Practice Phone: 602-529-4700
Practice Fax: 602-529-4699

1053775635 — CHETAN SHAILESHKUMAR PATEL NP-C
Practice Location Address:

171 W CENTRAL AVE
COOLIDGE, AZ
85128-4405

Practice Phone: 520-723-7726
Practice Fax:

1922653690 — KESHAVJIVAN PLLC
Practice Location Address:

171 W CENTRAL AVE
COOLIDGE, AZ
85128-4405

Practice Phone: 520-723-7726
Practice Fax: 520-723-4513

1477266609 — BE FREE COUNSELING SERVICES, LLC
Practice Location Address:

151 W CENTRAL AVE
COOLIDGE, AZ
85128-4405

Practice Phone: 520-635-5378
Practice Fax:

1326867904 — URGENTCARE OF COOLIDGE PLLC
Practice Location Address:

153 W CENTRAL AVE
COOLIDGE, AZ
85128-4405

Practice Phone: 520-660-6765
Practice Fax: 520-280-0640

1588734750 — EDWARD JAMES POWELL PA-C
Practice Location Address:

171 W CENTRAL AVE
COOLIDGE, AZ
85228-4405

Practice Phone: 520-723-7726
Practice Fax: 520-723-4513

Directions to “ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.