J Timothy Leavell in Boise - Developmental - Behavioral Pediatrics

J Timothy Leavell - NPI 1407890031

J Timothy Leavell is a Developmental - Behavioral Pediatrics in Boise, Idaho. J Timothy Leavell practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for J Timothy Leavell is 1407890031. The last update date is 2011-04-22.

J Timothy Leavell's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083817312 and fax number 2083817313. The mailing address for J Timothy Leavell is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name J Timothy Leavell
Address 190 E Bannock St, Boise, Idaho
Phone Number 2083817312
Fax Number 2083817313
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407890031
Provider Enumeration Date 2006-06-15
Last Updated Date 2011-04-22

Provider Mailing Address Detail

Address 190 E Bannock St
City Boise
State Idaho (ID)
Post Code 837126241
Phone Number 2083817312
Fax Number 2083817313

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No M7792
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

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FAQs about J Timothy Leavell

What is the unique 10-digit identification code assigned to J Timothy Leavell by the Centers for Medicare & Medicaid Services?

The J Timothy Leavell has been issued the NPI (National Provider Identifier) 1407890031, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the J Timothy Leavell's physical address?

The J Timothy Leavell is physically located at 190 E Bannock St, in the city of Boise, ID, with the postal code 837126241.

What is J Timothy Leavell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The J Timothy Leavell's specialized field of practice is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0006X.

On what date did J Timothy Leavell receive its 1407890031 assignment from the Centers for Medicare & Medicaid Services?

The J Timothy Leavell was assigned its 1407890031 on 2006-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding J Timothy Leavell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to J Timothy Leavell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-04-22.

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