Dr. William Conan Mustain, M.D.
Colon & Rectal Surgery in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1760635890
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1760635890
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Conan Mustain
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2008
- Certification date
- Mar 25, 2024
- Last updated
- Mar 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 42838 | OK | Yes |
| 208600000X | Surgery | R1900 | KY | |
| 208C00000X | Colon & Rectal Surgery | E-9260 | AR | |
| 208600000X | Surgery | E-9260 | AR |
Practice location
4205 Mcauley Blvd Ste 301Oklahoma City, OK 73120-8347
Phone 405-936-5718 · Fax 405-936-5719
Mailing address
4205 Mcauley Blvd Ste 301Oklahoma City, OK 73120-8347
Phone 405-936-5718 · Fax 405-936-5719
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