Regency Reconstruction Pllc

LBN: Regency Reconstruction Pllc
Regency Reconstruction Pllc is an health care organization with primary practice located at 10240 W Indian School Rd Ste 115 , Phoenix AZ 85037-5905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Regency Reconstruction Pllc can be contacted via phone (623) 251-6431, or through Mussman, Jason via phone (989) 255-4794.

Contact Information

Primary practice address
10240 W Indian School Rd Ste 115 Phoenix AZ 85037-5905
Phone: (623) 251-6431
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mussman, Jason Doctor of Medicine (MD)
Phone: (989) 255-4794

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1972086924
LBN Legal business name Regency Reconstruction Pllc
DBA Doing business as
Authorized official Mussman, Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2018
Last updated Jun 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972086924 NPPES
Arizona MEDICAID 961095

Popular Providers