Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler Forrest Mayo, DO

Individual provider Family Medicine Physician · NPI 1720341209

Dr. Tyler Forrest Mayo, DO is a Family Medicine Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 282-4508
Fax: (208) 282-4818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MRO-1244 (ID)

Record details

NPI number1720341209
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESJune 20, 2012
Mailing address465 Memorial Dr, Pocatello, ID 83201-4008

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