Michael J. Tullis in Meridian - Vascular Surgery
Michael J. Tullis - NPI 1598717985
Michael J. Tullis is a Vascular Surgery in Meridian, Idaho. Michael J. Tullis practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Michael J. Tullis is 1598717985. The last update date is 2019-10-09.
Michael J. Tullis's current location address is 3875 E Overland Rd Ste 2d, Meridian, Idaho. You can contact this provider via phone number 2086001550 and fax number 2086001551. The mailing address for Michael J. Tullis is 3875 E Overland Rd Ste 2d, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J. Tullis |
|---|---|
| Address | 3875 E Overland Rd Ste 2d, Meridian, Idaho |
| Phone Number | 2086001550 |
| Fax Number | 2086001551 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598717985 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2019-10-09 |
Provider Mailing Address Detail
| Address | 3875 E Overland Rd Ste 2d |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836429005 |
| Phone Number | 2086001550 |
| Fax Number | 2086001551 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | M-7939 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288349 | OR | -- | |
| 10028313 | ID | BLUE SHIELD | |
| 805714900 | ID | -- | |
| J3938 | ID | BLUE CROSS | |
| 770002414 | ID | RRMC |
Post Comment/ Review Below
What is the Michael J. Tullis's 1598717985?
The Michael J. Tullis's NPI (National Provider Identifier) Number is 1598717985. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael J. Tullis is physically located?
The Michael J. Tullis is physically situated at the following address: 3875 E Overland Rd Ste 2D, Meridian, ID, 836429005.
What is Michael J. Tullis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael J. Tullis's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598717985 to Michael J. Tullis?
The Michael J. Tullis received its 1598717985 assignment from the Centers for Medicare & Medicaid Services on 2006-05-16.
When was the Michael J. Tullis's information last updated?
The Michael J. Tullis's information was last updated on 2019-10-09.