# CREED MAMIKUNIAN, MD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CREED MAMIKUNIAN, MD
- **Other names:** Creed Mamikunian, MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609434497
- **Legal business name:** CREED MAMIKUNIAN, MD
- **Authorized official:** DR. CREED MAMIKUNIAN MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (907) 562-1860

## Contact information

- **Practice address:** 2401 E 42ND AVE STE 206, ANCHORAGE, AK 99508-5228
- **Practice address phone:** (907) 562-1860
- **Mailing address:** 2401 E 42ND AVE STE 206, ANCHORAGE, AK 99508-5228
- **Mailing address phone:** (907) 562-1860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 06/05/2019