Dr SHANE C LEAVITT is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2008 from University Of Utah School Of Medicine.
WESTERN WASHINGTON MEDICAL GROUP INC PS
3822 COLBY AVE
SUITE 100
EVERETT
WA
982014913
Tel: 4252638980
| Npi | 1942417811 |
| Pac Id | 1456425727 |
| Professional Enrollment Id | I20080805000097 |
| Last Name | LEAVITT |
| First Name | SHANE |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
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| Organization Legal Name | WESTERN WASHINGTON MEDICAL GROUP INC PS |
| Group Practice Pac Id | 7517870314 |
| Number Of Group Practice Members | 91 |
| Line 1 Street Address | 3822 COLBY AVE |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | EVERETT |
| State | WA |
| Zip Code | 982014913 |
| Phone Number | 4252638980 |
| Hospital Affiliation Ccn 1 | 500026 |
| Hospital Affiliation Lbn 1 | SWEDISH EDMONDS HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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