OrganizationActive
Scott K Gray, DPM
NPI 1710005509 · Podiatrist · Pine Bluff, AR
Provider details
- NPI number
- 1710005509
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Scott Gray, Owner(870) 536-3669
- License
- 197 (AR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1724 W 42nd Ave
Pine Bluff, AR 71603-7008
Phone: (870) 536-3669
Fax: (870) 536-0149
Approximate (ZIP-level) locationGet directions
Mailing address
1724 W 42nd Ave
Pine Bluff, AR 71603-7008
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.