J TIMOTHY LEAVELL

BOISE, ID
NPI1407890031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0006X Pediatrics Developmental - Behavioral Pediatrics
(Licence: ID  M7792)
Enumeration Date2006-06-15
Last Update Date2011-04-22
Business Address
DR. J TIMOTHY LEAVELL MD
100 E IDAHO ST SUITE 200
BOISE, ID 83712-6267
Phone number: 208-381-7312
Mailing Address
DR. J TIMOTHY LEAVELL MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-7312
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