Individual
ELSA KRACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E. ROOSEVELT ST., MARICOPA INTEGRATED HEALTH SYSTEM, PHOENIX, AZ 85008
(602) 344-1015
Mailing address
2601 E. ROOSEVELT ST., MARICOPA INTEGRATED HEALTH SYSTEM, PHOENIX, AZ 85008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-14165
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2015
Last updated
05/21/2018
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