Provider Demographics
NPI:1417454620
Name:SONNTAG, CHRISTOPHER EDUARD (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EDUARD
Last Name:SONNTAG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-0550
Mailing Address - Country:US
Mailing Address - Phone:479-404-2300
Mailing Address - Fax:479-404-2301
Practice Address - Street 1:3276 N NORTHHILLS BLVD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4005
Practice Address - Country:US
Practice Address - Phone:479-404-2300
Practice Address - Fax:479-404-2301
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-17047207RR0500X
RILP05399207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology