Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 02831 | NV |
N | 208D00000X | General Practice Physician | 36766 | CO |
NPI | 1932393691 |
---|---|
Provider Name | David Townsend Holt |
First Address | Reno, NV 89521 |
Second Address | Reno, NV 89509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 05/09/2007 |