BRENT LEAVITT
Physician Assistant
Active
Individual
NPI: 1740650548
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-1299 (ID) |
Frequently Asked Questions
NPI 1740650548 is the National Provider Identifier for BRENT LEAVITT, a Physician Assistant provider located in Chubbuck, ID. This NPI was enumerated on October 6, 2015.
BRENT LEAVITT practices at 4928 PLEASANT VIEW DR, Chubbuck, ID 83202.
Quick Facts
- NPI
- 1740650548
- Type
- Individual
- Enumerated
- Oct 6, 2015
- Last Updated
- Oct 6, 2015
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