Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mat-Su Ear, Nose, Throat & Facial Plastics, Inc

Organization Specialist · NPI 1912010687

Mat-Su Ear, Nose, Throat & Facial Plastics, Inc provides Specialist services in Palmer, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2490 S Woodworth Loop 201
Palmer, AK 99645
Phone: (907) 745-9200
Fax: (907) 745-9201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4516 (AK)

Record details

NPI number1912010687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Pulliam — President · (907) 745-9200
Other names Facial Plastic Ent & Associates, Inc
NPI enumeratedAugust 16, 2006
Last updated in NPPESDecember 27, 2017
Mailing address2490 South Woodworth Loop, 201, Palmer, AK 99645

Other providers in Palmer