Individual
JARED MICHAEL LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, BOX #800376, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5078
(434) 924-8118
Mailing address
1215 LEE ST, BOX #800376, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5078
(434) 924-8118
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101280287
VA
Other
Enumeration date
03/21/2017
Last updated
07/23/2024
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