Individual
MR. DENNIS PATRICK SERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
22742 OBERG RD, CHUGIAK, AK 99567-5495
(907) 854-8452
(907) 222-4641
Mailing address
PO BOX 671764, CHUGIAK, AK 99567-1764
(907) 854-8452
(907) 222-4641
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
633
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0081
—
AK
Enumeration date
07/01/2006
Last updated
02/04/2010
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