Individual
DR. RONALD NORMAN LEAVITT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1650 COCRANE CIRCLE, MEDDAC OPTOMETRY CLINIC, FT CARSON, CO 80913
(719) 526-7462
Mailing address
3302 BIRNAMWOOD DR, COLORADO SPRINGS, CO 80920-7330
(719) 282-1807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 5025
CA
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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