person
Michael J. Tullis, MD
Vascular Surgery Physician in Meridian, Idaho
NPI 1598717985

Michael J. Tullis is a Vascular Surgery Physician based in Meridian, ID and is specialized in Vascular Surgery. Michael J. Tullis practices in Meridian, ID and has the professional credentials of MD. The NPI Number for Michael J. Tullis is 1598717985 and holds a License No. M-7939 (Idaho).

The current practice location address for Michael J. Tullis is 3875 E Overland Rd Ste 2D, Meridian, ID and can be reached out via phone at 208-600-1550 and via fax at 208-600-1551.

Location: 3875 E Overland Rd Ste 2D, Meridian, ID, 83642-9005
person
Provider Profile Details
NPI Number
1598717985
Provider Name
Michael J. Tullis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3875 E Overland Rd Ste 2D, Meridian, ID, 83642-9005
Phone Number
208-600-1550
Fax Number
208-600-1551
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
288349 05 OR
000010028313 01 ID BLUE SHIELD
805714900 05 ID
J3938 01 ID BLUE CROSS
770002414 01 ID RRMC
institution
Provider Business Practice Location Address Details
Address
3875 E Overland Rd Ste 2D
City
State
Zip
83642-9005
Phone Number
208-600-1550
Fax Number
208-600-1551
person
Provider Business Mailing Address Details
Address
3875 E Overland Rd Ste 2D
City
State
Zip
83642-9005
Phone Number
208-600-1550
Fax Number
208-600-1551
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
M-7939 (Idaho)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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