Individual
DR. TERRI ANN GIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
6239 E BROWN RD, STE 113, MESA, AZ 85205-4933
(480) 218-0663
(480) 324-1494
Mailing address
6239 E BROWN RD, STE 113, MESA, AZ 85205-4933
(480) 386-5118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
773
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861006141
TAX ID
AZ
Enumeration date
12/11/2006
Last updated
12/21/2016
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