Healthcare Provider Details

I. General information

NPI: 1932393691
Provider Name (Legal Business Name): DAVID TOWNSEND HOLT DO HMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 09/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 PLUMAS ST SUITE B
RENO NV
89509
US

IV. Provider business mailing address

14195 RIATA CIRCLE
RENO NV
89521
US

V. Phone/Fax

Practice location:
  • Phone: 775-829-1009
  • Fax: 775-829-9330
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number02831
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number36766
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: