MEDICARE: DR. YAIR WALZER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	MD014056	TN

General Provider Information

NPI Number	:	1801903737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YAIR WALZER MD

Provider Business Mailing Address
First Line	:	PO BOX 2167
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38088-2167
Country	:	US
Telephone Number	:	901-753-9821
Fax Number	:	901-753-3537

Provider Business Practice Location Address
First Line	:	8066 WALNUT RUN RD STE 100
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-8842
Country	:	US
Telephone Number	:	901-753-9821
Fax Number	:	901-753-3537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	03/07/2017

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