Individual
DR. TRAVIS TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
230 S 500 E STE 150, SALT LAKE CITY, UT 84102-2058
(801) 595-1700
(801) 539-8900
Mailing address
230 S 500 E STE 150, SALT LAKE CITY, UT 84102-2058
(801) 595-1700
(801) 539-8900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
351142-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057033
—
UT
Enumeration date
08/11/2010
Last updated
08/11/2010
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