NPI 1932630563
Regency Skin Institute PLLC
Practice location
- Address
- 14725 W Mountain View Blvd, Surprise, AZ 85374-2704
- Phone
- (623) 243-9077
- Mailing address
- 10240 W Indian School Rd Suite 115, Phoenix, AZ 85037-5904
Authorised official
- Name
- Jason Lee Mussman
- Title
- Plastic Surgeon
- Phone
- (989) 255-4794
Registered specialties
MOHS-Micrographic Surgery Physician
Primary
Registry record
- NPI
- 1932630563
- Entity type
- Organization
- NPI issued
- 24 Mar 2017
- Record last updated
- 2 May 2025
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.