Individual
COLTON K. LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 3B427, SALT LAKE CITY, UT 84132-0002
(801) 213-2718
Mailing address
30 N 1900 E RM 3B427, SALT LAKE CITY, UT 84132-0002
(801) 213-2718
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12952603-1205
UT
Other
Enumeration date
02/26/2021
Last updated
07/25/2022
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