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

Regency Skin Institute PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1932630563

Regency Skin Institute PLLC is an MOHS-Micrographic Surgery Physician in Surprise, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14725 W Mountain View Blvd
Surprise, AZ 85374-2704
Phone: (623) 243-9077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10240 W Indian School Rd, Phoenix, AZ 85037-5904 — (623) 243-9077

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 49090 (AZ)

Record details

NPI number1932630563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Mussman — Plastic Surgeon · (989) 255-4794
NPI enumeratedMarch 24, 2017
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address10240 W Indian School Rd, Suite 115, Phoenix, AZ 85037-5904

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