Provider Demographics
NPI:1144430182
Name:MUSSMAN, JASON LEE (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:LEE
Last Name:MUSSMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10240 W. INDIAN SCHOOL RD.
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037
Mailing Address - Country:US
Mailing Address - Phone:623-251-6431
Mailing Address - Fax:623-271-9826
Practice Address - Street 1:10240 W. INDIAN SCHOOL RD.
Practice Address - Street 2:SUITE 115
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037
Practice Address - Country:US
Practice Address - Phone:623-243-9077
Practice Address - Fax:623-271-9826
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2025-05-02
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Provider Licenses
StateLicense IDTaxonomies
MI43010978182086S0122X
AZ490902086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery