Individual
JOSH LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
974 W CORPORATE LN STE 102, NAMPA, ID 83651-1930
(208) 252-9404
(208) 391-5980
Mailing address
974 W CORPORATE LN STE 102, NAMPA, ID 83651-1930
(208) 252-9404
(208) 391-5980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO164436
OR
207Q00000X
Family Medicine Physician
Primary
O-0647
ID
Other
Enumeration date
06/23/2010
Last updated
12/03/2019
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