Individual
MR. JARED AUSTIN LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-1237
(802) 847-1236
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-1237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030842
VT
Other
Enumeration date
07/12/2006
Last updated
06/23/2013
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