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Individual
ERIC B LEAVITT
Active
Individual
ERIC B LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00029327
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44031
LABOR & INDUSTRIES
WA
05
—
8139495
—
WA
01
—
8919359
CRIME VICTIMS
WA
Enumeration date
06/23/2005
Last updated
01/28/2010
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