# CHRISTIAN G BLANKERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376589754
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-2615 | AR | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 12/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 142586001 | — | AR |
| 01 | — | 5L595 | AR BC/BS | AR |
| 01 | — | P00186080 | RR MCR | AR |