Individual
JARON HUDSON MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3165 DEMERS AVE - TRUYU AESTHETIC CENTER, GRAND FORKS, ND 58201
(701) 780-6623
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13601
ND
208200000X
Plastic Surgery Physician
7152271-1205
UT
Other
Enumeration date
11/04/2008
Last updated
02/25/2019
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