Individual
JEFFREY P ROCKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 N RIM DR, STE A, FLAGSTAFF, AZ 86001
(928) 779-7014
(928) 779-3493
Mailing address
1330 N RIM DR, STE A, FLAGSTAFF, AZ 86001
(928) 779-7014
(928) 779-3493
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
25161
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393059
—
AZ
Enumeration date
07/18/2005
Last updated
05/15/2013
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