Individual
TYLER PENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10964118-1205
UT
Other
Enumeration date
04/23/2017
Last updated
08/28/2022
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