Individual
TYLER CRAIG BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(319) 356-2043
Mailing address
4401 WORNALL RD FL 9, KANSAS CITY, MO 64111-3220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-49658
IA
Other
Enumeration date
05/22/2019
Last updated
06/19/2023
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