Individual
TODD M. KRAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
523 ROSE LN, WICKENBURG, AZ 85390-1448
(928) 668-1833
(926) 684-7457
Mailing address
PO BOX 271669, SALT LAKE CITY, UT 84127-1669
(928) 684-4383
(928) 684-2434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34440
AZ
207R00000X
Internal Medicine Physician
35069162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238997
—
OH
05
—
061483
—
AZ
Enumeration date
05/23/2006
Last updated
05/07/2024
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