Individual
JEFFERSON A ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
41191 US HWY 6 & 24, AVON, CO 81620
(970) 949-6244
(970) 949-6325
Mailing address
PO BOX 699, VAIL, CO 81658-0699
(970) 949-6244
(970) 949-6325
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1557
CO
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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