Individual
MR. CHRISTOPHER L SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1100 MEDICAL DR, SUITE D, BLYTHEVILLE, AR 72315-1425
(870) 838-7385
(870) 762-4781
Mailing address
1100 MEDICAL DR, SUITE D, BLYTHEVILLE, AR 72315-1425
(870) 838-7385
(870) 762-4781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01707
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160962758
—
AR
01
—
5X469
BCBS
AR
Enumeration date
11/07/2006
Last updated
10/21/2016
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