Individual
THEODORE JAMES PYSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2150
Mailing address
PO BOX 413037, SALT LAKE CITY, UT 84141-3037
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
173099-1205
UT
Other
Enumeration date
10/13/2006
Last updated
12/01/2021
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