Andrew Richard Pulliam in Palmer - Otolaryngology/facial Plastic Surgery
Andrew Richard Pulliam - NPI 1134160120
Andrew Richard Pulliam is a Otolaryngology/facial Plastic Surgery in Palmer, Alaska. Andrew Richard Pulliam practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Andrew Richard Pulliam is 1134160120. The last update date is 2013-11-06.
Andrew Richard Pulliam's current location address is 2490 S Woodworth Loop, Palmer, Alaska. You can contact this provider via phone number 9077459200 and fax number 9077459201. The mailing address for Andrew Richard Pulliam is 2490 S Woodworth Loop, Palmer, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andrew Richard Pulliam |
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Address | 2490 S Woodworth Loop, Palmer, Alaska |
Phone Number | 9077459200 |
Fax Number | 9077459201 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1134160120 |
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Provider Enumeration Date | 2006-06-09 |
Last Updated Date | 2013-11-06 |
Provider Mailing Address Detail
Address | 2490 S Woodworth Loop |
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City | Palmer |
State | Alaska (AK) |
Post Code | 996457405 |
Phone Number | 9077459200 |
Fax Number | 9077459201 |
Provider's Primary Taxonomy Detail
Speciality | Otolaryngology/facial Plastic Surgery |
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Taxonomy | 207Yx0905X |
Licence No | 4516 |
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1013105 | AK | -- | |
K160457 | PTAN |
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What is the unique 10-digit identification code issued to Andrew Richard Pulliam by the Centers for Medicare & Medicaid Services?
The Andrew Richard Pulliam has been assigned the NPI (National Provider Identifier) 1134160120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Andrew Richard Pulliam?
The Andrew Richard Pulliam is physically situated at 2490 S Woodworth Loop, in the city of Palmer, state of AK, with the postal code 996457405.
What is Andrew Richard Pulliam's area of expertise and its corresponding taxonomy classification?
The Andrew Richard Pulliam's field of specialization is Otolaryngology/facial Plastic Surgery, and it falls under the taxonomy code 207Yx0905X, which categorizes healthcare providers based on their areas of practice.
On what date did the Andrew Richard Pulliam receive the assignment of its 1134160120 from the Centers for Medicare & Medicaid Services?
The Andrew Richard Pulliam was issued its 1134160120 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the Andrew Richard Pulliam's details last updated?
The information pertaining to the Andrew Richard Pulliam, including its address, specialty, and other details, was most recently updated on 2013-11-06.