NPI | 1609434497 |
---|---|
Doing Business As | CREED MAMIKUNIAN, MD |
Entity Type | Organization |
Authorized Contact | CREED MAMIKUNIAN Physician/Owner 907-562-1860 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2019-06-05 |
Last Update Date | 2019-06-05 |