| Doctor Name: | MR. DENNIS PATRICK SERIE |
| NPI Number: | 1063441178 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 633 |
| Business Practice Address: | 22742 Oberg Rd Chugiak, AK - 995675495 |
| Business Phone Number: | 9078548452 |
| Business Fax Number: | 9072224641 |
| Mailing Address: | Po Box 671764, CHUGIAK |
| State: | AK |
| Postal Code: | 995671764 |
| Phone Number: | 9078548452 |
| Fax Number: | 9072224641 |
| NPI Enumeration Date: | 07/01/2006 |
| NPI Last Update Date: | 02/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |