Provider Demographics
NPI:1932393691
Name:HOLT, DAVID TOWNSEND (DO HMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:TOWNSEND
Last Name:HOLT
Suffix:
Gender:M
Credentials:DO HMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14195 RIATA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6110 PLUMAS ST
Practice Address - Street 2:SUITE B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-829-1009
Practice Address - Fax:775-829-9330
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV02831175L00000X
CO36766208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice