BRANDON ELLIS TULLIS

PARK CITY, UT
NPI1184050601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RS0010X Internal Medicine, Sports Medicine
(Licence: UT  5980963-1205)
Enumeration Date2013-09-16
Last Update Date2022-08-03
Business Address
BRANDON ELLIS TULLIS M.D.
3850 CANYONS RESORT DRIVE
PARK CITY, UT 84098-6546
Phone number: 435-645-4130
Mailing Address
BRANDON ELLIS TULLIS M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-645-4130
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