SCOTT K GRAY DPM PA NPI 1679782411

NPI Information

SCOTT K GRAY DPM PA is a foot surgery podiatrist in White Hall, AR. SCOTT K GRAY DPM PA NPI is 1679782411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8604 DOLLARWAY RD
WHITE HALL, AR
ZIP 71602-814
Phone: (870) 536-3669
Fax: (870) 536-0149

The provider's authorized official is Scott K Gray .
The authorized official title is President Secretary and has the following contact phone number (870) 536-3669.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 11/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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