Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT LEAVITT
Active Sole ProprietorBRENT LEAVITT is a Physician Assistant healthcare provider located in CHUBBUCK, Idaho. NPI 1740650548 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHUBBUCK, ID
Registration Details
- NPI Number
- 1740650548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2015 (10.820427029163 yrs)
- Last Updated
- Oct 6, 2015
- License
-
PA-1299 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4928 PLEASANT VIEW DRCHUBBUCK, ID, 832021640Browse ID providers · Browse ZIP 83202
- Phone
- 2087609416
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| LESLIE IRENE BURNSIDE | PA-C | 1760451454 |
| MRS. AMY LOUISE MCKINLAY | PA-C | 1992716674 |
| RYAN T MCCULLOCH | PA | 1720195530 |
| RENEE LYNN KATTER | PA-C | 1053502955 |
| MRS. RACHEL M KOSTER | PA-C | 1437469830 |
| MR. WILEY D PETERSEN | PA-C | 1568920080 |
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.