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WHITE MOUNTAIN DERMATOLOGY LLC
NPI 1033164538
Dermatology - Procedural Dermatology in Apache Junction, AZ

Active since May 23, 2006
288 N IRONWOOD DR, SUITE 105, APACHE JUNCTION, AZ 85220(480) 671-4086 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About White Mountain Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE MOUNTAIN DERMATOLOGY LLC (NPI 1033164538) is a healthcare organization registered as a procedural dermatology in Apache Junction, Arizona and active in the NPI registry since May 2006. The organization lists Gerardo C Brual, President, as its authorized official.

NPPES Registry Identity

NPI1033164538
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameWHITE MOUNTAIN DERMATOLOGY LLC
Location Address288 N IRONWOOD DR, SUITE 105Apache Junction, AZ 85220-3830
Mailing Address288 N Ironwood Dr, Suite 105Apache Junction, AZ 85220-3830 · (480) 671-4086 · Fax (480) 671-4105
Phone(480) 671-4086
Organization SubpartNo
Authorized OfficialGerardo C BrualPresident · (480) 671-4086
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 7, 2015
✔ NPI 1033164538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
288 N IRONWOOD DR, Apache Junction, AZ 85220
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Other Identifiers 4

Other070013565AZ · Rail Road Medicare
Medicare PINZ110998AZ
Medicare PINZ79803AZ
Medicare PINZ79805AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN YAP LASSITER LPC
Counselor (Professional)
288 N IRONWOOD DR, 110
APACHE JUNCTION, AZ 85220
Pinal County (480) 982-2356
MR. RUSSELL VERNON PEARSON MSW
Social Worker (Clinical)
288 N IRONWOOD DR
APACHE JUNCTION, AZ 85220
Pinal County (480) 982-2356
MR. DANIEL E. PARKE LCSW
Social Worker (Clinical)
288 N IRONWOOD DR
APACHE JUNCTION, AZ 85220
Pinal County (480) 982-2356
CHARLIE MITCHELL, PH.D. P.C.
Psychologist (Clinical)
288 N IRONWOOD DR, #110
APACHE JUNCTION, AZ 85220
Pinal County (480) 982-2356
DR. GEORGE CHRISTOPHER BERRY PH.D.
Psychologist (Clinical)
288 N IRONWOOD DR, SUITE 110
APACHE JUNCTION, AZ 85220
Pinal County (480) 982-2356
MERRIL HESLOP
Social Worker (Clinical)
288 N IRONWOOD DR, 110
APACHE JUNCTION, AZ 85220
Pinal County (480) 982-2356
CHARLIE RAYMOND MITCHELL PH.D.
Psychologist
288 N IRONWOOD DR
APACHE JUNCTION, AZ 85220
Pinal County (480) 982-2356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Mountain Dermatology LLC's NPI number?

The NPI number for White Mountain Dermatology LLC is 1033164538. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is White Mountain Dermatology LLC located?

White Mountain Dermatology LLC is located at 288 N Ironwood Dr Suite 105, Apache Junction, AZ 85220. The listed phone number is (480) 671-4086.

What is White Mountain Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for White Mountain Dermatology LLC was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.