| Charles E Holt, DO | |
|
280 N Main St, Tooele, UT 84074-1650 | |
| (435) 882-8610 | |
| (435) 882-0186 |
| Full Name | Charles E Holt |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 280 N Main St, Tooele, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689772519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1788691204 (Utah) | Primary |
| Entity Name | Tooele Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Holt, DO 280 North Main, Po Box 88, Tooele, UT 84074-0088 Ph: (435) 882-8610 | Charles E Holt, DO 280 N Main St, Tooele, UT 84074-1650 Ph: (435) 882-8610 |
Blake Richard Beazer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 | |
Dr. Carolyn Forbes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E, Ste 102, Tooele, UT 84074 Phone: 435-843-1225 Fax: 435-843-1228 | |
Dr. An Tuong Dinh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Millpond, Tooele, UT 84074 Phone: 435-843-3647 Fax: 435-775-9272 | |
Dr. Patrick Nelson Green, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 W 1180 N, Suite # 5, Tooele, UT 84074 Phone: 435-248-0333 Fax: 435-248-0334 | |
Sergio Abarca, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 | |
Dr. Jay Myron Spector, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1929 Aaron Dr, Suite I, Tooele, UT 84074 Phone: 435-833-0229 Fax: 435-833-0231 | |
Nicole Patrone, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 58 S Main St, Tooele, UT 84074 Phone: 435-233-7900 |