Provider Demographics
NPI:1609106947
Name:SCHRATZ, BRUCE ELTON (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ELTON
Last Name:SCHRATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 PEBBLE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2643
Mailing Address - Country:US
Mailing Address - Phone:501-224-7032
Mailing Address - Fax:
Practice Address - Street 1:190 PEBBLE BEACH DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-2643
Practice Address - Country:US
Practice Address - Phone:501-224-7032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-2656207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine