Organization
REGENCY SKIN INSTITUTE PLLC
Active
Organization
REGENCY SKIN INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEE MUSSMAN M.D. (PLASTIC SURGEON)
(989) 255-4794
Entity
Organization
Contact information
Practice address
14725 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374-2704
(623) 243-9077
Mailing address
10240 W INDIAN SCHOOL RD, SUITE 115, PHOENIX, AZ 85037-5904
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
49090
AZ
Other
Enumeration date
03/24/2017
Last updated
05/02/2025
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