Individual
DR. KURTIS REX HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E PARKCENTER BLVD, BOISE, ID 83706-6528
(208) 381-6500
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-9589
ID
207P00000X
Emergency Medicine Physician
MD23658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286825
—
OR
Enumeration date
05/28/2006
Last updated
11/04/2022
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