Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 39799 | CO |
NPI | 1528127651 |
---|---|
Provider Name | Dr. Steven Holt |
First Address | Glendale, CO 80246-1912 |
Second Address | Denver, CO 80220-3923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 16/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33620237 | (05) | CO |
A74765 | (02) | CO |