Organization
CREED MAMIKUNIAN, MD
Active
Parent organization
CREED MAMIKUNIAN, MD
Other names
Creed Mamikunian, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREED MAMIKUNIAN, MD
Authorized official
DR. CREED MAMIKUNIAN MD (PHYSICIAN/OWNER)
(907) 562-1860
Entity
Organization
Contact information
Practice address
2401 E 42ND AVE STE 206, ANCHORAGE, AK 99508-5228
(907) 562-1860
Mailing address
2401 E 42ND AVE STE 206, ANCHORAGE, AK 99508-5228
(907) 562-1860
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2517
—
AK
Enumeration date
06/05/2019
Last updated
06/05/2019
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