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Organization
PIVOT CONCIERGE HEALTH, LLC
Active
Organization
PIVOT CONCIERGE HEALTH, LLC
Active
Other names
Total Male Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BUDA (OWNER)
(402) 350-1024
Entity
Organization
Contact information
Practice address
2801 S 88TH ST, OMAHA, NE 68124-3056
(402) 885-8125
(402) 625-0578
Mailing address
2801 S 88TH ST, OMAHA, NE 68124-3056
(402) 885-8125
(402) 625-0578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026770100
—
NE
Enumeration date
02/14/2019
Last updated
02/18/2020
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