DR. Glenn Ralph Leavitt, DO
NPI #1386644318 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1386644318
- Entity Type
- Individual
- Name
- DR. Glenn Ralph Leavitt, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- DO
- Enumeration Date
- Aug 1, 2005
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 1550 ELK CRK
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8322
- Phone
- (208) 529-5942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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