Individual
LOGAN PRICE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4530 E MUIRWOOD DR STE 110, PHOENIX, AZ 85048-7693
(480) 763-5808
(602) 759-0647
Mailing address
2910 N 3RD AVE # 200, PHOENIX, AZ 85013-4434
(602) 406-3181
(833) 973-5424
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
011503
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237592
—
AZ
Enumeration date
06/24/2020
Last updated
04/03/2026
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