Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Regency Reconstruction PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1972086924

Regency Reconstruction PLLC provides Plastic and Reconstructive Surgery Physician services 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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