IndividualActive
Tyler Fraser, MD
NPI 1629464896 · Orthopaedic Foot and Ankle Surgery Physician · Memphis, TN
Provider details
- NPI number
- 1629464896
- Entity type
- Individual
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 62663 (TN)
Practice location
1244 Primacy Pkwy
Memphis, TN 38119-0201
Phone: (901) 767-8662
Fax: (901) 767-8666
Mailing address
6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Registry dates
- Enumerated
- 2015-04-14
- Last updated
- 2021-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.