OrganizationActive
Mat-Su Dermatology, LLC
NPI 1063300580 · MOHS-Micrographic Surgery Physician · Palmer, AK
Provider details
- NPI number
- 1063300580
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melody Mittelsteadt, Coo(210) 897-9248
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2250 S Woodworth Loop Ste 101
Palmer, AK 99645-7457
Phone: (907) 745-7546
Fax: (907) 745-7540
Approximate (ZIP-level) locationGet directions
Mailing address
2250 S Woodworth Loop Ste 101
Palmer, AK 99645-7457
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.