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

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

Organization Specialist · NPI 1912010687

Mat-Su Ear, Nose, Throat & Facial Plastics, Inc is a Specialist 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.

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Practice location Address checks out

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

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