Individual provider · Type 1 NPI
Rockey Owen Krumbholz, AUD
Specialist · Prescott, AZ
NPI number
1912046400
Active
Practice location
938 Black Dr
Prescott, AZ 86305-1404
Fax (928) 445-3287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 885DA (AZ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1912046400
Rockey Owen Krumbholz, AUD's National Provider Identifier is 1912046400, issued on Feb 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.