Individual
CHRISTOPHER THOMAS FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S E ST, FORT SMITH, AR 72901-4716
(479) 785-2431
(479) 494-7787
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 494-7787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-9194
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200492590A
—
OK
05
—
209362001
—
AR
Enumeration date
05/04/2012
Last updated
06/19/2023
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