Individual provider · Type 1 NPI

Glenn Ralph Leavitt, DO

Obstetrics & Gynecology Physician · Idaho Falls, ID

NPI number 1386644318 Active

Practice location

1550 Elk Crk
Idaho Falls, ID 83404-8322

Fax (208) 529-5951

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XO-0365 (ID)

Obstetrics & Gynecology Physician: 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.

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About NPI 1386644318

Glenn Ralph Leavitt, DO's National Provider Identifier is 1386644318, issued on Aug 1, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 1, 2012.