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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 1:14 PM CST
Next Update: Thursday, December 19, 2024 4:30 PM CST

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MUSTAIN, WILLIAM CONAN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: MERCY CLINIC - COLON & RECTAL SURGERY
4205 MCAULEY BLVD.
SUITE 301
OKLAHOMA CITY OK 73120-8347

Address last updated on 4/7/2024
Phone #: (405) 936-5718
Fax #: (405) 936-5719
County: OKFUSKEE
License: 42838
Dated: 3/6/2024
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Colon & Rectal Surgery
General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduated: 5 / 2007
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF COLON AND RECTAL SURGERY
AMERICAN BOARD OF SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY CLINIC - COLON & RECTAL SURGERY
4205 MCAULEY BLVD.
SUITE 301
OKLAHOMA CITY OK 73120-8347

Phone #: (405) 936-5718
Fax #: (405) 936-5719
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARRIE GEURTS APRN 77039

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