MS. Janie Hiesirman-Gorak

NPI #1871632851 in Show Low, Arizona

Provider Information

NPI Number: 1871632851
Entity Type: Individual
Name: MS. Janie Hiesirman-Gorak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1801 W DEUCE OF CLUBS
Address 2: #200
City: Show Low
State: Arizona
ZIP Code: 85901-2705
Phone: (928) 339-4842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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