Provider Demographics
NPI:1720562135
Name:MARKUS, DANIEL (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:MARKUS
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 1:1700 E ELLIOT RD
Mailing Address - Street 2:STE 12
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1650
Mailing Address - Country:US
Mailing Address - Phone:406-212-2849
Mailing Address - Fax:
Practice Address - Street 1:1700 E ELLIOT RD STE 12
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1650
Practice Address - Country:US
Practice Address - Phone:602-661-7752
Practice Address - Fax:602-661-7756
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor