Individual
MICHAEL DAVID HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 E MAIN ST, MEDFORD, OR 97504-7499
(541) 772-0127
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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