Individual
THOMAS LELAND LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2564 NE COURTNEY DR, BEND, OR 97701-7638
(541) 678-5277
(541) 678-5280
Mailing address
2564 NE COURTNEY DR, BEND, OR 97701-7638
(541) 678-5277
(541) 678-5280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201403764RN
OR
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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