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Individual

ERIC B LEAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1424 N. MCDONALD ROAD, STE 101, SPOKANE VALLEY, WA 99216-1088
(509) 928-7272
(509) 928-7346
Mailing address
1424 N. MCDONALD ROAD, STE 101, SPOKANE VALLEY, WA 99216-1088
(509) 928-7272
(509) 928-7346

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00029327
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44031
LABOR & INDUSTRIES
WA
05
8139495
WA
01
8919359
CRIME VICTIMS
WA
Enumeration date
06/23/2005
Last updated
01/28/2010
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