DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN RALPH LEAVITT, DO

Active Sole Proprietor

DR. GLENN RALPH LEAVITT, DO is a Obstetrics & Gynecology healthcare provider located in IDAHO FALLS, Idaho. NPI 1386644318 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · IDAHO FALLS, ID

Registration Details

NPI Number
1386644318
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2005 (21.012955480099 yrs)
Last Updated
Mar 1, 2012
License
O-0365 (ID)
Sole Proprietor
Yes

Practice Information

Address
1550 ELK CRK
IDAHO FALLS, ID, 834048322
Browse ID providers · Browse ZIP 83404
Phone
2085295942
Fax
2085295951
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in IDAHO FALLS, ID

Name Credential NPI
MATTHEW ROBISON DO 1194757393
MS. MARGARET C HUGGINS MD 1215040480
DR. R. DOUGLAS ISBELL M.D. 1750490546
DR. JAMES MICHAEL OLDROYD M D 1992897268
STEVEN W ROBISON MD 1710056577
BARBARA J NELSON MD 1023187879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.