Organization · Type 2 NPI
Alaska Facial Plastic Surgery & Ent
Otolaryngology/Facial Plastic Surgery Physician · Wasilla, AK
NPI number
1114548351
Active
Practice location
3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273
Mailing address
PO Box 75045
Chicago, IL 60675-5045
Other practice locations
- 3340 Providence Dr # A363, Anchorage, AK 99508-4691 · (907) 671-6017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
5 other providers at this address
- Christina Bray Magill, MDFacial Plastic Surgery Physician Wasilla, AK NPI 1043340185
- Eugene Ritter Sansoni, MDOtolaryngology Physician Wasilla, AK NPI 1508158965
- Jennifer Laura Mitchell, MDOtolaryngology Physician Wasilla, AK NPI 1104110246
- Kristen Prestegard, PA-CMedical Physician Assistant Wasilla, AK NPI 1467325415
- Morgan Anastasia BarkerPhysician Assistant Wasilla, AK NPI 1770254799
About NPI 1114548351
Alaska Facial Plastic Surgery & Ent's National Provider Identifier is 1114548351, issued on Apr 28, 2020. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Wasilla, AK. The record was last updated on Oct 9, 2026.