Provider Demographics
NPI:1477814952
Name:HOLT, ERIC F (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:F
Last Name:HOLT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:999 N CURTIS RD
Mailing Address - Street 2:# 502
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-1336
Mailing Address - Country:US
Mailing Address - Phone:208-367-2866
Mailing Address - Fax:208-367-2867
Practice Address - Street 1:999 N CURTIS RD
Practice Address - Street 2:# 502
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1336
Practice Address - Country:US
Practice Address - Phone:208-367-2866
Practice Address - Fax:208-367-2867
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDM27182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry