NPI 1861776791

Mat-Su Plastic Surgery LLC

Organisation Plastic Surgery Physician Palmer, AK

Practice location

Address: 2490 S Woodworth Loop Suite 310, Palmer, AK 99645-7405
Phone: (907) 746-6100

Authorised official

Name: Susan J Dean
Title: Owner
Phone: (704) 859-6261

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 6242 (AK)

Other Plastic Surgery providers in Alaska →

Registry record

NPI: 1861776791
Entity type: Organization
NPI issued: 11 Oct 2011
Record last updated: 11 Oct 2011

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.