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Charles Holliday, MD — NPI 1750901609, Salt Lake City, UT | NPI Central

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NPI 1750901609

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Charles Holliday, MD

NPI 1750901609 · Sports Medicine (Orthopaedic Surgery) Physician · Salt Lake City, UT

Provider details

NPI number: 1750901609
Entity type: Individual
Primary specialty: Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 69880 (MN)

Specialties & taxonomies

Sports Medicine (Orthopaedic Surgery) PhysicianPrimary207XX0005XLicense 14210215-1205 (UT)
Allopathic & Osteopathic Physicians
Orthopaedic Surgery Physician207X00000XLicense 69880 (MN)
Allopathic & Osteopathic Physicians
Orthopaedic Surgery Physician207X00000XLicense 30945 (MN)
Allopathic & Osteopathic Physicians

Practice location

590 S Wakara Way Rm A0058

Salt Lake City, UT 84108-1200

Phone: (801) 581-2121

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

590 S Wakara Way Rm A0058

Salt Lake City, UT 84108-1200

Additional practice locations (1)

200 1st St Sw
Rochester, MN 55905-0001
Phone: (507) 284-2511

Registry dates

Enumerated: 2020-04-21
Last updated: 2025-12-29
Certified: 2025-12-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.