IndividualActive
Adam Tullis, DPM
NPI 1972912657 · Foot & Ankle Surgery Podiatrist · Rancho Mirage, CA
Provider details
- NPI number
- 1972912657
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- E5379 (CA)
Practice location
39000 Bob Hope Dr
Probst Bldg Suite 207
Rancho Mirage, CA 92270-3221
Phone: (760) 848-8231
Fax: (760) 610-6102
Mailing address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Registry dates
- Enumerated
- 2014-08-07
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.