Mitzi Rose Krockover in Scottsdale - Internal Medicine

Mitzi Rose Krockover - NPI 1104039593

Mitzi Rose Krockover is a Internal Medicine in Scottsdale, Arizona. Mitzi Rose Krockover practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mitzi Rose Krockover is 1104039593. The last update date is 2007-07-08.

Mitzi Rose Krockover's current location address is 5685 N Scottsdale Rd, Scottsdale, Arizona. You can contact this provider via phone number 4807074521. The mailing address for Mitzi Rose Krockover is 5685 N Scottsdale Rd, Scottsdale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitzi Rose Krockover
Address 5685 N Scottsdale Rd, Scottsdale, Arizona
Phone Number 4807074521
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1104039593
Provider Enumeration Date 2007-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5685 N Scottsdale Rd
City Scottsdale
State Arizona (AZ)
Post Code 852505900
Phone Number 4807074521
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A48336
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34681 KY MEDICAL LICENSE
A48336 CA MEDICAL LICENSE

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FAQs about Mitzi Rose Krockover

What is the Mitzi Rose Krockover's 1104039593?

The Mitzi Rose Krockover's NPI (National Provider Identifier) Number is 1104039593. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mitzi Rose Krockover is geographically located?

The Mitzi Rose Krockover is physically situated at the following location: 5685 N Scottsdale Rd, Scottsdale, AZ, 852505900.

What is the Mitzi Rose Krockover's specialty and taxonomy code?

The Mitzi Rose Krockover's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104039593 to Mitzi Rose Krockover?

The Centers for Medicare & Medicaid Services originally issued the 1104039593 to Mitzi Rose Krockover on 2007-05-08.

As of what date were the details pertaining to Mitzi Rose Krockover last refreshed?

The information related to the Mitzi Rose Krockover, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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