MR. Leavitt Woodland, PA-C
NPI #1760286991 in Providence, Utah
Provider Information
- NPI Number
- 1760286991
- Entity Type
- Individual
- Name
- MR. Leavitt Woodland, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 4, 2025
- Last Updated
- Dec 23, 2025
Practice Location
- Address
- 560 W 465 N STE 603
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-8006
- Phone
- (435) 557-4292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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