Individual
AUSTIN TROY LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA2967
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/27/2023
Last updated
11/27/2024
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