Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. J TIMOTHY LEAVELL, MD
ActiveDR. J TIMOTHY LEAVELL, MD is a Developmental-Behavioral Pediatrics healthcare provider located in BOISE, Idaho. NPI 1407890031 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · BOISE, ID
Registration Details
- NPI Number
- 1407890031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (20.182832463054 yrs)
- Last Updated
- Apr 22, 2011
- License
-
M7792 (ID)
Practice Information
- Address
-
100 E IDAHO STSUITE 200BOISE, ID, 837126267Browse ID providers · Browse ZIP 83712
- Phone
- 2083817312
- Fax
- 2083817313
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
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.