Individual
ADAM JESIONEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
Mailing address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A158081
CA
Other
Enumeration date
06/19/2017
Last updated
07/14/2020
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