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Contact Information

BRANDON E TULLIS, MD
3850 CANYONS RESORT DRIVE
PARK CITY, UT84098-6546
 Phone: 435-645-4130
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRANDON E TULLIS · (Male)

NPI # 1184050601
Status Active
Credentials MD
Entity Individual
Enumeration date 09/16/2013
Last updated 08/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5980963-1205
Hospital affiliation(s)
  • UTAH VALLEY REGIONAL MEDICAL CENTER - (Acute Care)
    1034 NORTH 500 WEST
    PROVO, UT 84604
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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