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1598717985
MICHAEL J. TULLIS
MERIDIAN, ID
NPI
1598717985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery Vascular Surgery
(Licence: ID M-7939)
Enumeration Date
2006-05-16
Last Update Date
2019-10-09
Business Address
MICHAEL J. TULLIS MD
3875 E OVERLAND RD STE 2D
MERIDIAN, ID 83642-9005
Phone number: 208-600-1550
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Mailing Address
MICHAEL J. TULLIS MD
3875 E OVERLAND RD STE 2D
MERIDIAN, ID 83642-9005
Phone number: 208-600-1550
Copy
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