Organization
LOTH SPORTS & FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEE LOTH DC (OWNER/PHYSICIAN)
(480) 812-9000
Entity
Organization
Contact information
Practice address
1425 W ELLIOT RD, SUITE 203, GILBERT, AZ 85233-5129
(480) 812-9000
(480) 812-9040
Mailing address
1425 W ELLIOT RD, SUITE 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
Enumeration date
04/15/2008
Last updated
05/26/2010
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