Tyler Pew, DO
Internal Medicine Physician · Logan, UT
Practice location
1350 N 500 ELogan, UT 84341-2400
- Phone
- (435) 792-1980
NPI record
- NPI
- 1063152080
- Entity type
- Individual (Type 1)
- Enumeration date
- March 29, 2022
- Last updated
- November 25, 2025
- Certified
- November 25, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Physician Primary | 207R00000X |
14217639-1204 | UT |
| Internal Medicine Physician | 207R00000X |
1063152080 | ID |
Mailing address
PO Box 27128Salt Lake City, UT 84127-0128
Other practice locations (1)
- 500 W Fort St # 111R, Boise, ID 83702-4501 · (208) 422-1314
About Dr. Pew
Tyler Pew, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 1350 N 500 E, Logan, UT 84341-2400. The NPI number 1063152080 was assigned on March 29, 2022 and the record was last updated on November 25, 2025.
Dr. Pew lists 2 licenses in the registry: #14217639-1204 (UT) for Internal Medicine Physician; #1063152080 (ID) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tyler Pew, DO?
The NPI number is 1063152080.
What is the phone number of Dr. Pew?
The phone number listed for the practice location is (435) 792-1980.
Where is Dr. Pew located?
1350 N 500 E, Logan, UT 84341-2400.
What is the taxonomy code for Dr. Pew?
The primary taxonomy code is 207R00000X – Internal Medicine Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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