Dr. Andrew Richard Pulliam
Otolaryngology/Facial Plastic Surgery
2490 S Woodworth Loop Suite 201
Palmer
, Alaska 99645-7405
Dr. Andrew Richard Pulliam
Otolaryngology/Facial Plastic Surgery
2490 S Woodworth Loop Suite 201
Palmer
, Alaska 99645-7405
(907) 745-9201
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Andrew Richard Pulliam
- 2490 S Woodworth Loop Suite 201
- Palmer, AK
- Zip : 99645-7405
- Fax : (907) 745-9201
- Phone : (907) 745-9200
Second Address
- Dr. Andrew Richard Pulliam
- 2490 S Woodworth Loop Suite 201
- Palmer, AK
- Zip : 99645-7405
- Fax : (907) 745-9201
- Phone : (907) 745-9200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4516 | AK |
National Provider Identifier
| NPI | 1134160120 |
|---|---|
| Provider Name | Dr. Andrew Richard Pulliam |
| First Address | Palmer, AK 99645-7405 |
| Second Address | Palmer, AK 99645-7405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 06/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013105 | (05) | AK |
| K160457 | PTAN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.