| NPI | 1831411826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS S SERIE Physician Assistant 907-677-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 633) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |