Individual
MASON PAUL MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-1252
Mailing address
3004 SEQUOIA DR., SLC, UT 84109
(801) 633-1874
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01022049299
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
11710579-1204
UT
Other
Enumeration date
02/07/2014
Last updated
02/10/2026
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