Individual
WILLIAM S HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Mailing address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
007905
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000431
ANTHEM BCBS
ME
01
—
1042047
AETNA
ME
05
—
244430099
—
ME
Enumeration date
06/28/2006
Last updated
12/28/2009
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