Individual
DR. THOMAS J LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
284 BUCK RUN, SAGLE, ID 83860
(208) 255-7564
(208) 255-7537
Mailing address
284 BUCK RUN, SAGLE, ID 83860
(208) 255-7564
(208) 255-7537
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M-9379
ID
Other
Enumeration date
08/01/2006
Last updated
12/18/2007
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