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Regency Skin Institute PLLC — NPI 1932630563, Surprise, AZ | NPI Central

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NPI 1932630563

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Regency Skin Institute PLLC

NPI 1932630563 · MOHS-Micrographic Surgery Physician · Surprise, AZ

Provider details

NPI number: 1932630563
Entity type: Organization
Primary specialty: MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jason Mussman, Plastic Surgeon(989) 255-4794
License: 49090 (AZ)

Specialties & taxonomies

MOHS-Micrographic Surgery PhysicianPrimary207ND0101XLicense 49090 (AZ)
Allopathic & Osteopathic Physicians

Practice location

14725 W Mountain View Blvd

Surprise, AZ 85374-2704

Phone: (623) 243-9077

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

10240 W Indian School Rd

Phoenix, AZ 85037-5904

Additional practice locations (1)

10240 W Indian School Rd
Suite 115
Phoenix, AZ 85037-5904
Phone: (623) 243-9077

Registry dates

Enumerated: 2017-03-24
Last updated: 2025-05-02
Certified: 2025-05-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.