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BRENT LEAVITT

Physician Assistant

NPI: 1740650548Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA-1299(ID)

Contact & Hours

Address
4928 PLEASANT VIEW DR
CHUBBUCK, ID 83202

Quick Facts

NPI
1740650548
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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