Mat-Su Plastic Surgery LLC

NPI #1861776791 in Palmer, Alaska

Provider Information

NPI Number: 1861776791
Entity Type: Organization
Organization Name: Mat-Su Plastic Surgery LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Oct 11, 2011
Last Updated: Oct 11, 2011

Practice Location

Address: 2490 S WOODWORTH LOOP
Address 2: SUITE 310
City: Palmer
State: Alaska
ZIP Code: 99645-7405
Phone: (907) 746-6100

Authorized Official

Name: DR. SUSAN J DEAN, MD
Title: OWNER
Phone: (704) 859-6261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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