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Individual
MATTHEW O LEAVITT
Active
Individual
MATTHEW O LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
65908671205
UT
207ZD0900X
Dermatopathology (Pathology) Physician
65908671205
UT
207ZI0100X
Immunopathology Physician
65908671205
UT
207ZN0500X
Neuropathology Physician
65908671205
UT
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
65908671205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
65908671205
UT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
65908671205
UT
Other
Enumeration date
09/19/2007
Last updated
06/16/2021
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