Individual provider · Type 1 NPI
Michael J. Tullis, MD
Vascular Surgery Physician · Meridian, ID
NPI number
1598717985
Active
Practice location
3875 E Overland Rd Ste 2D
Meridian, ID 83642-9005
Fax (208) 600-1551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | M-7939 (ID) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1598717985
Michael J. Tullis, MD's National Provider Identifier is 1598717985, issued on May 16, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Meridian, ID. The record was last updated on Oct 9, 2019.