Regency Spa LLC

NPI #1548844343 in Surprise, Arizona

Provider Information

NPI Number
1548844343
Entity Type
Organization
Organization Name
Regency Spa LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
May 7, 2021
Last Updated
May 7, 2021

Practice Location

Address
14725 W MOUNTAIN VIEW BLVD
State
Arizona
ZIP Code
85374-2704
Phone
(623) 243-9077

Authorized Official

Name
JASON LEE MUSSMAN, MD
Title
OWNER
Phone
(623) 243-9077

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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