Brandon L Tullis, D.P.M.

NPI #1568410348 in Modesto, California

Provider Information

NPI Number: 1568410348
Entity Type: Individual
Name: Brandon L Tullis, D.P.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: May 4, 2006
Last Updated: Feb 22, 2011

Practice Location

Address: 600 COFFEE RD
City: Modesto
State: California
ZIP Code: 95355-4201
Phone: (209) 524-1211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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