Theodore James Pysher, MD Valid NPI
Individual provider · Pediatric Pathology Physician · Salt Lake City, UT
- NPI
- 1497845010
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Pathology Physician (Pathology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207ZP0213X
- License number
- 173099-1205 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-13
- Last updated
- 2021-12-01
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
(801) 662-2150