Individual
MRS. CATHERINE LYLE MUSTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
421 N. MAIN STREET, MULBERRY, AR 72947
(479) 997-1484
(479) 997-1494
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 635-0091
(479) 635-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-279
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191340795
—
AR
Enumeration date
06/19/2006
Last updated
04/24/2017
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