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

Theodore James Pysher, MD

Individual provider Pediatric Pathology Physician · NPI 1497845010

Theodore James Pysher, MD is a Pediatric Pathology Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-2150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Pathology Physician (primary) Taxonomy 207ZP0213X · Licence 173099-1205 (UT)

Record details

NPI number1497845010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing addressPo Box 413037, Salt Lake City, UT 84141-3037

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