Individual
CHARLES E HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
280 N MAIN ST, TOOELE, UT 84074-1650
(435) 882-8610
(435) 882-0186
Mailing address
280 NORTH MAIN, PO BOX 88, TOOELE, UT 84074-0088
(435) 882-8610
(435) 882-0186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1788691204
UT
Other
Enumeration date
09/21/2006
Last updated
11/01/2012
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