Individual
DR. JASON LEE LOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1425 W ELLIOT RD, #203, GILBERT, AZ 85233-5129
(480) 812-9000
(480) 812-9040
Mailing address
1425 W ELLIOT RD, #203, GILBERT, AZ 85233-5129
(480) 812-9000
(480) 812-9040
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5900
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1936614
FIRST HEALTH
AZ
01
—
1Z0112
HEALTHNET
AZ
01
—
623803
ACN
AZ
01
—
AZ0938770
BCBS
AZ
Enumeration date
01/05/2007
Last updated
07/09/2007
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