Healthcare Provider Details

I. General information

NPI: 1275760936
Provider Name (Legal Business Name): NATALIE STRICKLAND NATALIE STRICKLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE STRICKLAND M.D.

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 05/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 WE KNIGHT DR
FORT SMITH AR
72903
US

IV. Provider business mailing address

1324 CLIFTON RD NE B349A
ATLANTA GA
30322-1059
US

V. Phone/Fax

Practice location:
  • Phone: 479-709-6755
  • Fax:
Mailing address:
  • Phone: 314-362-6978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2009015657
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberE10077
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: