Individual
WADE KARL LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1925 WHIPPLE AVE STE 30, LOGANDALE, NV 89021-9934
(702) 398-3621
Mailing address
1301 BERTHA HOWE AVE STE 1, MESQUITE, NV 89027-7503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0751
NV
363A00000X
Physician Assistant
PA3249
NV
Other
Enumeration date
07/07/2025
Last updated
10/08/2025
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