Mustain, William Conan

Mustain, William Conan is an individual health care provider with primary practice located at 4205 Mcauley Blvd Ste 301 , Oklahoma City OK 73120-8347. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Mustain, William Conan can be contacted via phone (405) 936-5718.

Contact Information

Primary practice address
4205 Mcauley Blvd Ste 301 Oklahoma City OK 73120-8347
Phone: (405) 936-5718
Fax: (405) 936-5719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R1900 Kentucky
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X E-9260 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X E-9260 Arkansas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 42838 Oklahoma

Profile Details

NPI number 1760635890
LBN Legal business name Mustain, William Conan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Mar 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760635890 NPPES
Arkansas Other 5ZZ13 AR BCBS
Arkansas MEDICAID 209704001 AR BCBS

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