Individual
DR. JOE REN'E SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 STOCKTON HILL RD, KINGMAN, AZ 86401-5173
(928) 753-1177
(928) 753-1178
Mailing address
PO BOX 782, 3740 LOMITA, KINGMAN, AZ 86402-0782
(928) 692-1634
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
16279
AZ
208D00000X
General Practice Physician
Primary
16279
AZ
Other
Enumeration date
06/04/2006
Last updated
08/07/2009
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