Healthcare Provider Details

I. General information

NPI: 1962430504
Provider Name (Legal Business Name): CHRISTOPHER M COLEMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ROGERS AVE
FORT SMITH AR
72903-4073
US

IV. Provider business mailing address

PO BOX 3528
FORT SMITH AR
72913-3528
US

V. Phone/Fax

Practice location:
  • Phone: 479-452-2077
  • Fax:
Mailing address:
  • Phone: 479-452-2077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberE-4316
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberE-4316
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: