Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael J. Tullis, MD

Individual provider Vascular Surgery Physician · NPI 1598717985

Michael J. Tullis, MD is a Vascular Surgery Physician in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3875 E Overland Rd Ste 2D
Meridian, ID 83642-9005
Phone: (208) 600-1550
Fax: (208) 600-1551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence M-7939 (ID)

Record details

NPI number1598717985
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESOctober 9, 2019
Mailing address3875 E Overland Rd Ste 2d, Meridian, ID 83642-9005

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