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Individual

TRENT LEAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2831 BUSINESS PARK CT STE 130A, LAS VEGAS, NV 89128-9007
(702) 844-4848
(702) 844-4849
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065536
IL
207R00000X
Internal Medicine Physician
Primary
DO3009
NV
208000000X
Pediatrics Physician
125065536
IL

Other

Enumeration date
06/20/2014
Last updated
01/30/2023
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