Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL J. TULLIS, MD
ActiveMICHAEL J. TULLIS, MD is a Vascular Surgery healthcare provider located in MERIDIAN, Idaho. NPI 1598717985 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MERIDIAN, ID
Registration Details
- NPI Number
- 1598717985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.272330623086 yrs)
- Last Updated
- Oct 9, 2019
- License
-
M-7939 (ID)
Practice Information
- Address
-
3875 E OVERLAND RD STE 2DMERIDIAN, ID, 836429005Browse ID providers · Browse ZIP 83642
- Phone
- 2086001550
- Fax
- 2086001551
- Primary Specialty
-
Vascular Surgery
2086S0129X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.