Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mitzi Rose Krockover, MD

Individual provider Internal Medicine Physician · NPI 1104039593

Dr. Mitzi Rose Krockover, MD is an Internal Medicine Physician in Scottsdale, Arizona. Practices as a sole proprietor. Licensed in California and Kentucky.

Licensed in
CA, KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5685 N Scottsdale Rd E100
Scottsdale, AZ 85250-5900
Phone: (480) 707-4521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 34681 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence A48336 (CA)

Record details

NPI number1104039593
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESSeptember 11, 2025

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