Individual
DR. MITZI ROSE KROCKOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5685 N SCOTTSDALE RD, E100, SCOTTSDALE, AZ 85250-5900
(480) 707-4521
Mailing address
5685 N SCOTTSDALE RD, E100, SCOTTSDALE, AZ 85250-5900
(480) 707-4521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34681
KY
207R00000X
Internal Medicine Physician
A48336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34681
MEDICAL LICENSE
KY
01
—
A48336
MEDICAL LICENSE
CA
Enumeration date
05/08/2007
Last updated
09/11/2025
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