Individual
JANE DEON LEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-1048
(801) 581-6393
Mailing address
300 PASTEUR DR # H3647, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7664695-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
10/20/2022
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