Healthcare Provider Details

I. General information

NPI: 1528127651
Provider Name (Legal Business Name): STEVEN HOLT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E. 9TH AVE SUITE 470
DENVER CO
80220-3923
US

IV. Provider business mailing address

720 S COLORADO BLVD SUITE 220A
GLENDALE CO
80246-1912
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-7845
  • Fax: 303-329-7862
Mailing address:
  • Phone: 303-320-7845
  • Fax: 303-329-7862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number39799
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: