Individual
DR. WORTHE S HOLT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5210 E THOMPSON RD, INDIANAPOLIS, IN 46237-2085
(317) 782-7500
(317) 782-7515
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260110B
—
IN
Enumeration date
11/17/2005
Last updated
10/03/2023
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