NPI 1871632851
Janie Hiesirman-Gorak
Practice location
- Address
- 1801 W Deuce of Clubs #200, Show Low, AZ 85901-2705
- Phone
- (928) 339-4842
- Mailing address
- PO Box 850, Alpine, AZ 85920-0850
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1871632851
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Feb 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.