IndividualActive
Michael Tullis, MD
NPI 1598717985 · Vascular Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1598717985
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-7939 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3875 E Overland Rd Ste 2d
Meridian, ID 83642-9005
Phone: (208) 600-1550
Fax: (208) 600-1551
Approximate (ZIP-level) locationGet directions
Mailing address
3875 E Overland Rd Ste 2d
Meridian, ID 83642-9005
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2019-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.