Individual
DR. ELIAS JOLLEY LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93453
GA
Other
Enumeration date
06/29/2021
Last updated
07/31/2025
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