Kent G Leavitt MD Pllc

NPI #1588807218 in Monroe, Washington

Provider Information

NPI Number: 1588807218
Entity Type: Organization
Organization Name: Kent G Leavitt MD Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Apr 10, 2009
Last Updated: Jun 11, 2014

Practice Location

Address: 14841 179TH AVE SE STE 110
City: Monroe
State: Washington
ZIP Code: 98272-1127
Phone: (425) 450-6990

Authorized Official

Name: KENT G LEAVITT, MD
Title: MEMBER
Phone: (425) 450-6990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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