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Douglas Holt, MD
Radiation Oncology Physician in Salt Lake City, Utah
NPI 1417310046

Douglas Holt is a Radiation Oncology Physician based in Salt Lake City, UT and is specialized in Radiation Oncology. Douglas Holt practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Douglas Holt is 1417310046 and holds a License No. 13723A (Utah).

The current practice location address for Douglas Holt is 1250 E 3900 S Ste B10, Salt Lake City, UT and can be reached out via phone at 801-456-8401.

Location: 1250 E 3900 S Ste B10, Salt Lake City, UT, 84124-1348
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Provider Profile Details
NPI Number
1417310046
Provider Name
Douglas Holt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1250 E 3900 S Ste B10, Salt Lake City, UT, 84124-1348
Phone Number
801-456-8401
Fax Number
Provider Enumeration Date
03/31/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13723A 01 WY WY MD LICENSE
12250382-1205 01 UT UT MD LICENSE
M-15792 01 ID ID MD LICENSE
institution
Provider Business Practice Location Address Details
Address
1250 E 3900 S Ste B10
City
State
Zip
84124-1348
Phone Number
801-456-8401
Fax Number
person
Provider Business Mailing Address Details
Address
1250 E 3900 S Ste B10
City
State
Zip
84124-1348
Phone Number
801-456-8401
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
M-15792 (Idaho)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
13723A (Wyoming)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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