| Doctor Name: | DR. DANIEL FERRIN LEAVITT |
| NPI Number: | 1104160415 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 60020209 |
| Business Practice Address: | 14869 Cottage Ln Anacortes, WA - 982219705 |
| Business Phone Number: | 3604215177 |
| Business Fax Number: | 8888599764 |
| Mailing Address: | 14869 Cottage Ln, ANACORTES |
| State: | WA |
| Postal Code: | 982219705 |
| Phone Number: | 3604215177 |
| Fax Number: | 8888599764 |
| NPI Enumeration Date: | 11/27/2012 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 60020209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |