NPI 1063300580

Mat-Su Dermatology, LLC

Organisation MOHS-Micrographic Surgery Physician Palmer, AK

Practice location

Address: 2250 S Woodworth Loop STE 101, Palmer, AK 99645-7457
Phone: (907) 745-7546
Fax: (907) 745-7540

Authorised official

Name: Melody Mittelsteadt
Title: Coo
Phone: (210) 897-9248

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in Alaska →

Registry record

NPI: 1063300580
Entity type: Organization
NPI issued: 24 Jun 2025
Record last updated: 20 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.