Individual
DAVID T TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N MAIN ST, RICHFIELD, UT 84701-1857
(435) 896-8271
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 357-7475
(801) 357-7997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59809631205
UT
Other
Enumeration date
10/16/2006
Last updated
02/13/2014
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