| NPI | 1679782411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT K GRAY President Secretary 870-536-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: AR 197) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-11-07 |