Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mat-Su Dermatology, LLC

Organization MOHS-Micrographic Surgery Physician · NPI 1063300580

Mat-Su Dermatology, LLC is an MOHS-Micrographic Surgery Physician in Palmer, Alaska. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2250 S Woodworth Loop Ste 101
Palmer, AK 99645-7457
Phone: (907) 745-7546
Fax: (907) 745-7540
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1063300580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melody Mittelsteadt — Coo · (210) 897-9248
NPI enumeratedJune 24, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address2250 S Woodworth Loop Ste 101, Palmer, AK 99645-7457

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