Brent Leavitt
NPI #1851761464 in Chubbuck, Idaho
Provider Information
- NPI Number
- 1851761464
- Entity Type
- Organization
- Organization Name
- Brent Leavitt
- Primary Specialty
- General Acute Care Hospital - Critical Access
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Sep 25, 2015
Practice Location
Authorized Official
- Name
- BRENT R LEAVITT, PA-C
- Title
- OWNER
- Phone
- (208) 760-9416
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Critical Access — Critical Access |
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