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Ethan Myles Leavitt (D.O.)

Ethan Myles Leavitt (D.O.) is a health care provider specializes in Family Medicine. He is associated with medical group practice MARANA HEALTH CENTER INC.

profile-icon Basic Information

Practice Location 8181 E Irvington Rd, Tucson, AZ 85709-4001, US
Practice Location Phone520-574-1551
Practice Location Fax520-574-0783
GenderMale
Specialty InFamily Medicine
Medical SchoolArizona College Of Osteopathic Medicine Mid Western University
Graduation Year2009
NPI ?1780995746
PECOS ID5395979975
Enrollment IDI20131015000622
Entity TypeIndividual
Enumeration Date ? Jun 24, 2010
Last Update Date ? Jul 20, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Ethan Myles Leavitt

SpecialtySpecializationLicenseLicense State
Family Medicine 006003Arizona

Medicare-icon Medicare Participation of Ethan Myles Leavitt

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Ethan Myles Leavitt

Medical Group PracticeMarana Health Center Inc

legacy-id-icon Legacy Provider IDs of Ethan Myles Leavitt

Provider IdIssuer StateIssuer TypeIssuer
846899ArizonaMedicaid