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Individual

DR. CORT BERNE LEAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2992
(435) 688-6222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15225
NV
207Q00000X
Family Medicine Physician
9674228-1205
UT
208M00000X
Hospitalist Physician
Primary
9674228-1205
TX

Other

Enumeration date
07/24/2012
Last updated
07/21/2022
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