Provider Demographics
NPI:1588760961
Name:ZLOTO, PAUL JACOB (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JACOB
Last Name:ZLOTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8575 E SHARON DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-4139
Mailing Address - Country:US
Mailing Address - Phone:480-483-1232
Mailing Address - Fax:602-938-9207
Practice Address - Street 1:17606 N 59TH AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-9702
Practice Address - Country:US
Practice Address - Phone:602-928-9125
Practice Address - Fax:602-938-9207
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3789111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ84642Medicare ID - Type Unspecified