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Organization
PIVOTAL WHOLE HEALTH GROUP
Active
Organization
PIVOTAL WHOLE HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN STANEK MD (OWNER)
(208) 966-4944
Entity
Organization
Contact information
Practice address
916 W IRONWOOD DR, COEUR D ALENE, ID 83814-2642
(208) 966-4944
(208) 966-4947
Mailing address
916 W IRONWOOD DR, COEUR D ALENE, ID 83814-2642
(208) 966-4944
(208) 966-4947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
11/08/2021
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