MEDICARE: AXIS SOUTHWEST, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7888	AZ

General Provider Information

NPI Number	:	1992952626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIS SOUTHWEST, LLC

Provider Business Mailing Address
First Line	:	7330 E SHEA BLVD
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6426
Country	:	US
Telephone Number	:	480-889-1760
Fax Number	:	480-889-1759

Provider Business Practice Location Address
First Line	:	7330 E SHEA BLVD
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6426
Country	:	US
Telephone Number	:	480-889-1760
Fax Number	:	480-889-1759

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. WERNER VON MARKSFELD
Credential	:	DC
Telephone Number	:	480-889-1760

Provider Enumeration Date	:	08/25/2008
Last Update Date	:	08/25/2008

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Directions to “AXIS SOUTHWEST, LLC ” Practice Location

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