Individual
DR. CHARLES A MUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
1807 OSCEOLA DR, NORTH LITTLE ROCK, AR 72116-4520
(479) 234-5256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-7268
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190460001
—
AR
Enumeration date
06/04/2010
Last updated
11/09/2012
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