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Individual

DR. WENDY LYNNE LEAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(801) 230-8268
Mailing address
560 W 465 N STE 604, PROVIDENCE, UT 84332-8006
(435) 753-1600

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10261491
UT
207L00000X
Anesthesiology Physician
19015
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10261491-1205
UT LICENSE
UT
Enumeration date
06/15/2013
Last updated
09/30/2024
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