Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regency Reconstruction PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1972086924

Regency Reconstruction PLLC is a Plastic and Reconstructive Surgery Physician in Phoenix, Arizona. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10240 W Indian School Rd Ste 115
Phoenix, AZ 85037-5905
Phone: (623) 251-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1972086924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Mussman — Owner · (989) 255-4794
NPI enumeratedSeptember 14, 2018
Last updated in NPPESJune 11, 2019
Mailing address10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905

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