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LEAVITT WOMENS HEALTHCARE CORPP.C. NPI 1972771756


NPI Information

NPI: 1972771756
Provider Name: LEAVITT WOMENS HEALTHCARE CORP,P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 13D2281888

Address:
1550 ELK CREEK DR
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-5942
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LEAVITT WOMENS HEALTHCARE CORP,P.C. is an obstetrics gynecology in Idaho Falls, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LEAVITT WOMENS HEALTHCARE CORP,P.C. NPI is 1972771756. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1550 ELK CREEK DR
IDAHO FALLS, ID
ZIP 83404-322
Phone: (208) 529-5942

The provider's authorized official is Glenn Leavitt .
The authorized official title is Owner and has the following contact phone number (208) 529-4942.

The CLIA number assigned to this NPI record is 13D2281888 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/14/2008 and was last updated on 10/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyO0365IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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