| Doctor Name: | DR. ANDREW RICHARD PULLIAM |
| NPI Number: | 1134160120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4516 |
| Business Practice Address: | 2490 S Woodworth Loop Suite 201 Palmer, AK - 996457405 |
| Business Phone Number: | 9077459200 |
| Business Fax Number: | 9077459201 |
| Mailing Address: | 2490 S Woodworth Loop, Suite 201 PALMER |
| State: | AK |
| Postal Code: | 996457405 |
| Phone Number: | 9077459200 |
| Fax Number: | 9077459201 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 11/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 4516 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |