| Organization Name: | SCOTT K GRAY DPM PA |
| NPI Number: | 1679782411 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT K GRAY (PRESIDENT SECRETARY) |
| Mailing Address: | 8604 Dollarway Rd White Hall |
| State: | AR US |
| Postal Code: | 716022814 |
| Phone Number: | 8705363669 |
| Fax Number: | 8705360149 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |