person
Dr. Andrew Richard Pulliam, MD
Otolaryngology/Facial Plastic Surgery Physician in Palmer, Alaska
NPI 1134160120

Andrew Richard Pulliam is a Otolaryngology/Facial Plastic Surgery Physician based in Palmer, AK and is specialized in Otolaryngology/Facial Plastic Surgery. Andrew Richard Pulliam practices in Palmer, AK and has the professional credentials of MD. The NPI Number for Andrew Richard Pulliam is 1134160120 and holds a License No. 4516 (Alaska).

The current practice location address for Andrew Richard Pulliam is 2490 S Woodworth Loop, Palmer, AK and can be reached out via phone at 907-745-9200 and via fax at 907-745-9201.

Location: 2490 S Woodworth Loop, Palmer, AK, 99645-7405
person
Provider Profile Details
NPI Number
1134160120
Provider Name
Andrew Richard Pulliam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2490 S Woodworth Loop, Palmer, AK, 99645-7405
Phone Number
907-745-9200
Fax Number
907-745-9201
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013105 05 AK
K160457 01 PTAN
institution
Provider Business Practice Location Address Details
Address
2490 S Woodworth Loop
City
State
Zip
99645-7405
Phone Number
907-745-9200
Fax Number
907-745-9201
person
Provider Business Mailing Address Details
Address
2490 S Woodworth Loop
City
State
Zip
99645-7405
Phone Number
907-745-9200
Fax Number
907-745-9201
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
4516 (Alaska)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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