| Doctor Name: | SCOTT GRIGG |
| NPI Number: | 1023240744 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN |
| License Number: | R62819 |
| Business Practice Address: | 4301 Greathouse Springs Rd Springdale, AR - 727628701 |
| Business Phone Number: | 4796843132 |
| Business Fax Number: | 4796843098 |
| Mailing Address: | 4301 Greathouse Springs Rd, SPRINGDALE |
| State: | AR |
| Postal Code: | 727628701 |
| Phone Number: | 4796843132 |
| Fax Number: | 4796843098 |
| NPI Enumeration Date: | 08/13/2009 |
| NPI Last Update Date: | 01/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | R62819 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |