Individual
DR. WILLIAM MUSTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
2500 N STATE ST, DEPT OF OTO & COMM SCIENCES, JACKSON, MS 39216-4500
(601) 984-5160
Mailing address
2500 N STATE ST, DEPT OF OTO & COMM SCIENCES, JACKSON, MS 39216-4500
(601) 984-5160
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0143
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770092
—
MS
01
—
P01402399
RR MEDICARE
MS
Enumeration date
03/18/2008
Last updated
02/12/2015
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