Individual
MR. MARK SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
350 LOUISIANA AVENUE, LIBBY, MT 59923
(406) 283-7000
(406) 293-7931
Mailing address
350 LOUISIANA AVENUE, LIBBY, MT 59923
(406) 283-7000
(406) 293-7931
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MED-PHYS-LIC-12100
MT
390200000X
Student in an Organized Health Care Education/Training Program
L1169747
MI
Other
Enumeration date
08/05/2007
Last updated
10/09/2013
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