Individual
DR. CHRISTOPHER GARY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3940 4TH AVE, SUITE 140, SAN DIEGO, CA 92103-3193
(619) 516-8931
(619) 516-8936
Mailing address
4520 EXECUTIVE DR, 105, SAN DIEGO, CA 92121-3018
(858) 450-5900
(858) 450-5903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A 96213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96213
MEDICAL LICENSE
CA
Enumeration date
12/27/2006
Last updated
07/27/2016
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