Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK SERRA, DO
ActiveMR. MARK SERRA, DO is a Emergency Medicine healthcare provider located in LIBBY, Montana. NPI 1225229347 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · LIBBY, MT
Registration Details
- NPI Number
- 1225229347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2007 (19.008891477358 yrs)
- Last Updated
- Oct 9, 2013
- Licenses
-
L1169747 (MI)MED-PHYS-LIC-12100 (MT)
Practice Information
- Address
-
350 LOUISIANA AVENUELIBBY, MT, 59923Browse MT providers · Browse ZIP 59923
- Phone
- 4062837000
- Fax
- 4062937931
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.