Organization
BILLET DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY CORONADO (ADMINISTRATOR)
(623) 521-9113
Entity
Organization
Contact information
Practice address
5540 W GLENDALE AVE STE A103, GLENDALE, AZ 85301-2579
(833) 224-5538
(833) 424-5538
Mailing address
6710 N 47TH AVE, GLENDALE, AZ 85301-4121
(833) 224-5538
(833) 424-5538
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/30/2025
Last updated
05/08/2026
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