Organization · Type 2 NPI

Arizona Institute of Dermatology Payson LLC

Dermatology Physician · Payson, AZ

NPI number 1093416893 Active

Practice location

127 E Main St Ste A
Payson, AZ 85541-5646

Call (928) 951-0395 Map

Fax (928) 492-9319

Mailing address

13921 W Grand Ave Bldg E
Surprise, AZ 85374-2439

Other practice locations

13921 W Grand Ave Bldg E, Surprise, AZ 85374-2439 · (623) 212-1121
16838 E Palisades Blvd Ste 105, Fountain Hills, AZ 85268-3786 · (480) 291-6790

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	None listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

5 other providers at this address

NPI record

NPI: 1093416893
Entity type: Organization (Type 2)
Issued: Mar 17, 2023
Last updated: May 7, 2026
Status: Active

Other names

Peak Dermatology · doing business as
Peak Dermatology Aesthetics and Wellness · doing business as

Authorized official

Christopher Ugochukwu Ugorji Rex
Owner/provider
(928) 951-0395

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093416893

Arizona Institute of Dermatology Payson LLC's National Provider Identifier is 1093416893, issued on Mar 17, 2023. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Payson, AZ. The record was last updated on May 7, 2026.