Individual
DR. CREED K MAMIKUNIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 E 42ND AVE, SUITE 206, ANCHORAGE, AK 99508-5205
(907) 562-1860
(907) 562-1865
Mailing address
2401 E 42ND AVE, SUITE 206, ANCHORAGE, AK 99508-5205
(907) 562-1860
(907) 562-1865
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A48276
CA
207Y00000X
Otolaryngology Physician
Primary
AA2517
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2517
—
AK
Enumeration date
07/08/2006
Last updated
07/08/2007
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