Organization
SCOTT K GRAY DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT K GRAY DPM (PRESIDENT SECRETARY)
(870) 536-3669
Entity
Organization
Contact information
Practice address
8604 DOLLARWAY RD, WHITE HALL, AR 71602-2814
(870) 536-3669
(870) 536-0149
Mailing address
8604 DOLLARWAY RD, WHITE HALL, AR 71602-2814
(870) 536-3669
(870) 536-0149
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
197
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152076716
—
AR
01
—
5F841
BCBS
AR
Enumeration date
05/21/2007
Last updated
11/07/2012
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