Search › Idaho › 207V00000X
Glenn Leavitt, DO
NPI 1386644318 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1550 Elk Crk
Idaho Falls, ID 83404 - Phone
- (208) 529-5942
- Fax
- (208) 529-5951
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho