Individual
DR. JOHN ANTON PESAVENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 N 90TH ST STE 200, OMAHA, NE 68114-2766
(402) 955-3900
(402) 955-3920
Mailing address
1000 N 90TH ST STE 200, OMAHA, NE 68114-2766
(402) 250-1665
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29489
NE
Other
Enumeration date
07/08/2013
Last updated
11/21/2018
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