Individual
DR. SAMUEL GRAY MCCLATCHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 521-4603
Mailing address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 521-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
28373
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-15633
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2016
Last updated
08/03/2022
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