Individual
BENJAMIN VAN LEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
Mailing address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11938408-1205
UT
Other
Enumeration date
04/19/2017
Last updated
05/13/2021
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