Scott K Gray Dpm Pa

LBN: Scott K Gray Dpm Pa
Scott K Gray Dpm Pa is an health care organization with primary practice located at 8604 Dollarway Rd , White Hall AR 71602-2814. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Scott K Gray Dpm Pa can be contacted via phone (870) 536-3669, or through Gray, Scott K via phone (870) 536-3669.

Contact Information

Primary practice address
8604 Dollarway Rd White Hall AR 71602-2814
Phone: (870) 536-3669
Fax: (870) 536-0149
Website:
Map and Directions
Authorized official contact:
Name: Gray, Scott K Doctor of Podiatric Medicine (DPM)
Phone: (870) 536-3669

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 197 Arkansas

Profile Details

NPI number 1679782411
LBN Legal business name Scott K Gray Dpm Pa
DBA Doing business as
Authorized official Gray, Scott K Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Nov 7th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679782411 NPPES
Arkansas MEDICAID 152076716
Arkansas Other 5F841

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