OrganizationActive
Mat-Su Ear, Nose, Throat & Facial Plastics, Inc.
NPI 1912010687 · Specialist · Palmer, AK
Mat-Su Ear, Nose, Throat & Facial Plastics, Inc. is a Specialist organization in Palmer, AK (NPI 1912010687).
Provider details
- NPI number
- 1912010687
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Andrew Pulliam, President(907) 745-9200
- License
- 4516 (AK)
Practice location
2490 South Woodworth Loop
201
Palmer, AK 99645
Phone: (907) 745-9200
Fax: (907) 745-9201
Street-level locationGet directions
Mailing address
2490 South Woodworth Loop
Palmer, AK 99645
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2017-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.