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Regency Skin Institute Pllc
Multi-Specialty Clinic/Center in Surprise, Arizona
NPI 1083298301

Regency Skin Institute Pllc is a Multi-Specialty Clinic/Center based in Surprise, AZ and is specialized in Multi-Specialty. Regency Skin Institute Pllc practices in Surprise, AZ. The NPI Number for Regency Skin Institute Pllc is 1083298301 and holds a License No. (Arizona).

The current practice location address for Regency Skin Institute Pllc is 14725 W Mountain View Blvd, Surprise, AZ and can be reached out via phone at 623-243-9077.

Location: 14725 W Mountain View Blvd, Surprise, AZ, 85374-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083298301
Provider Name
Regency Skin Institute Pllc
Credential
Provider Entity Type
Organization
Address
14725 W Mountain View Blvd, Surprise, AZ, 85374-2704
Phone Number
623-243-9077
Fax Number
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49090 01 AZ ARIZONA MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
14725 W Mountain View Blvd
City
Surprise
State
Arizona
Zip
85374-2704
Phone Number
623-243-9077
Fax Number
person
Provider Business Mailing Address Details
Address
14725 W Mountain View Blvd
City
Surprise
State
Arizona
Zip
85374-2704
Phone Number
623-243-9077
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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