Individual
BRENNEN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E # 1C026, SALT LAKE CITY, UT 84132-0002
(801) 581-2730
Mailing address
30 N 1900 E # 1C026, SALT LAKE CITY, UT 84132-0002
(801) 581-2730
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10484722-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/04/2016
Last updated
04/29/2019
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